NPIMap

Organization Active NPI

North Mississippi Medical Center, Inc.

Doing business as North Ms Rehab Unit

  • Rehabilitation Hospital Unit
  • Tupelo, MS
National Provider Identifier
1326155706
Registry record updated Jan 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Hospital UnitTaxonomy code 273Y00000X
License
13-063 Issued in MS
Legal business name
NORTH MISSISSIPPI MEDICAL CENTER, INC.
Doing business as
North Ms Rehab Unit
Practice address
830 S Gloster St
Tupelo, MS 38801-4934
Phone
(662) 377-3000
NPI assigned
Aug 23, 2006
Last updated
Jan 21, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
NORTH MISSISSIPPI MEDICAL CENTER, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 21, 2025

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

Authorized official

Name
Mr. Bruce Toppin
Title
Corporate Secretary
Phone
(662) 377-4229

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Hospital Unit 273Y00000X 13-063 MS Primary

Addresses

Primary practice location

830 S Gloster St
Tupelo, MS 38801-4934

Mailing address

808 Varsity Dr
Tupelo, MS 38801-4613
Phone (662) 377-2774

Other identifiers 1

IdentifierTypeStateIssuer
006200850MedicaidMS

Other names 1

  • North Ms Rehab Unit Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080428000627 MS Part A Provider - Hospital 9931010600 Practice locations: Tupelo, MS

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1326155706. Details of each certification follow.

Hospital certification: CCN 25T004

Legal name
NORTH MISSISSIPPI MEDICAL CENTER, INC.
Doing business as
NORTH MS MED REHAB UNIT
Organization structure
CorporationProprietary
Incorporated
Jan 1, 1800 in DE
Enrollment address
830S Gloster St
Tupelo, MS 38801-4934
Other Hospital Practice Location
Hospital subgroups
Rehabilitation unit

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 8

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Inpatient rehabilitation facility

Medicare Care Compare
Listed as
North Mississippi Medical CenterCCN 25T004 · All quality measures
Ownership
Non-profit
Certified
Oct 1, 1988

National Provider Directory

National Provider Directory
Tax ID family
Benjamin Groves MD65 organizations share this tax ID, including this one
Part of
Benjamin Groves MD

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Ownership & related parties

All disclosed owners & managing parties 18

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Barry D Bertolet Individual Corporate DirectorBoard Member Oct 1, 2021
Calude Waycaster Individual Corporate DirectorBoard Member Oct 1, 2021
William H Milam Individual Corporate DirectorBoard Member Nov 1, 2011
North Mississippi Health Services Inc Organization, Tupelo, MS Non-profit 5% Or Greater Direct Ownership Interest Apr 2, 1982
Bruce J Toppin Individual Corporate OfficerSecretary Nov 1, 1997
Lewis Whitfield Individual Corporate DirectorBoard Member Oct 1, 2021
Sharon D Nobles Individual Corporate OfficerTreasurer Apr 4, 2017
Samuel Jeffery Sliman Individual Corporate DirectorBoard Member Oct 1, 2021
William Holliman Individual Corporate DirectorBoard Member Nov 1, 2011
Samuel C Pace Individual Corporate DirectorBoard Member Oct 1, 2021
Michael S Spees Individual Operational/Managerial ControlCeo Feb 1, 2014
John Wheeler Individual Corporate DirectorBoard Member Oct 1, 2021
Gary Lynn Sparkman Individual Corporate DirectorBoard Member Oct 1, 2021
Barney J Guyton Individual Corporate DirectorBoard Member Nov 1, 2011
Chris Rogers Individual Corporate DirectorBoard Member Nov 1, 2011
David Copenhaver Individual Corporate DirectorBoard Member Oct 1, 2021
Chester K White Individual Corporate DirectorBoard Member Oct 1, 2021
David Wilson Individual W-2 Managing Employee Mar 30, 2015

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Baldwyn Nursing FacilityBaldwyn, MS, CCN 255161 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Adp of the SNF		 Mar 16, 2009
Mar 16, 2009
Mar 16, 2009
Childrens Clinic - TupeloTupelo, MS, CCN 258551 Rural health clinic 5% Or Greater Indirect Ownership Interest (100%) Aug 24, 1992

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 33

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 33

Practitioners & affiliated clinicians

Practitioners 3

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.

Affiliated clinicians 6

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737417600000",
    "number": "1326155706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "808 VARSITY DR",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388014613",
            "telephone_number": "662-377-2774",
            "fax_number": "662-377-2057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 S GLOSTER ST",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388014934",
            "telephone_number": "662-377-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH MISSISSIPPI MEDICAL CENTER, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NORTH MISSISSIPPI MEDICAL CENTER, INC.",
        "enumeration_date": "2006-08-23",
        "last_updated": "2025-01-21",
        "certification_date": "2025-01-21",
        "status": "A",
        "authorized_official_last_name": "TOPPIN",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_title_or_position": "CORPORATE SECRETARY",
        "authorized_official_telephone_number": "662-377-4229",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "273Y00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Unit",
            "state": "MS",
            "license": "13-063",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006200850",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North Ms Rehab Unit",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tupelo, MS

Sources for this page

Verify at the official NPI Registry.