North Mississippi Medical Center

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

NORTH MISSISSIPPI MEDICAL CENTER

Doing business as

Family Medicine Residency Center

Practice address

1665 S Green St
Tupelo, MS 38804-6556

Phone

(662) 377-2189

Fax

(662) 377-2263

NPI assigned

Aug 31, 2006

Last updated

Jul 11, 2007By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Gerald Wages

Title

Coo

Phone

(662) 377-3000

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Family Medicine Residency Center Doing business as

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

Locations

Practitioners 186

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Haya Alghazo, MD

  • Internal Medicine Physician
  • Tupelo, MS
  • NPI 1295467314
  NPD (past)
• Lauren B Armstrong

  • Family Nurse Practitioner
  • Tupelo, MS
  • NPI 1215578752
  NPD (past)
• Toni Armstrong, FNP-BC

  • Family Nurse Practitioner
  • Belmont, MS
  • NPI 1447728944
  NPD (past)
• Mylie Kate Beane, FNP-C

  • Family Nurse Practitioner
  • Tupelo, MS
  • NPI 1194497032
  NPD (past)
• Olivia Bennett, FNP-BC

  • Family Nurse Practitioner
  • Tupelo, MS
  • NPI 1275363145
  NPD (past)
• Barry Dean Bertolet, MD

  • Cardiovascular Disease Physician
  • Tupelo, MS
  • NPI 1295845444
  NPD (past)
• Carl Gorman Bevering, MD

  • Neurological Surgery Physician
  • Tupelo, MS
  • NPI 1215909171
  NPD (past)
• Crystal Dawn Biffle, AGACNP-BC

  • Acute Care Nurse Practitioner
  • Tupelo, MS
  • NPI 1164122818
  NPD (past)
• Lori Blansett, NP

  • Family Medicine Physician
  • Tupelo, MS
  • NPI 1851868533
  NPD (past)
• Kelsey O'Neal Blundell, DO

  • Family Medicine Physician
  • Tupelo, MS
  • NPI 1225760598
  NPD (past)
• Justin Mitchell Brewer, MD

  • Obstetrics & Gynecology Physician
  • Brandon, MS
  • NPI 1366628059
  NPD (past)
• Toni Burnett

  • Adult Health Nurse Practitioner
  • Tupelo, MS
  • NPI 1396286209
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184112000000",
    "number": "1285745885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 E PRESIDENT AVE",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388015599",
            "telephone_number": "662-377-4685",
            "fax_number": "662-377-2755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1665 S GREEN ST",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388046556",
            "telephone_number": "662-377-2189",
            "fax_number": "662-377-2263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH MISSISSIPPI MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-07-11",
        "status": "A",
        "authorized_official_last_name": "WAGES",
        "authorized_official_first_name": "GERALD",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "662-377-3000"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09014041",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Medicine Residency Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• North Mississippi Medcial Center, Inc. (Diabetes Treatment Center)
• North Mississippi Medcial Center, Inc. (Radiology Consultants)
• North Mississippi Medcial Center, Inc. (North Mississippi Hypertension Clinic)
• North Mississippi Medical Center (Advanced Wound Center Professionals)
• North Mississippi Medical Center (Garfield Clinic)
• North Mississippi Medical Center (Bariatric Clinic)
• North Mississippi Medical Center (Glycemic Control Center)
• North Mississippi Medical Center
• North Mississippi Medical Center
• North Mississippi Medical Center (NMMC Outpatient Infusion Service)

• Family Medicine Physician in Tupelo, MS
• Providers in Tupelo, MS by specialty
• Family Medicine Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.