Jeremy Scott Archer, MD
Individual provider Active NPI Urology Physician · Tupelo, MS
NPI 1386179232 · NPPES record last updated Jul 14, 2025
Key facts
- NPI
- 1386179232
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Urology Physician 208800000X
- License
- 29817 (MS)
- Practice address
- 499 Gloster Creek VLG Ste A1
Tupelo, MS 38801-4749 - Phone
- (662) 432-0700
- NPI assigned
- Apr 28, 2017
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Urology
- Education
- University of Florida College of Medicine, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Baptist Memorial Hospital Union County, Inc.
Urology Professional Association
Practice addresses (Care Compare)
200 Hwy 30 W
New Albany, MS 38652-3112
Phone (601) 534-7631
499 Gloster Creek VLG
Suite A1
Tupelo, MS 38801-4749
Phone (662) 432-0700
Hospital & facility affiliations
- North Mississippi Medical Center
- Baptist Memorial Hospital Union County
- Magnolia Regional Health Center
- North Mississippi Medical Center-Gilmore Amory
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.8 of 100
- Quality
- 91.59
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Prostate resection | 57 |
| Removal of tissue | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220628001444 | MS | Practitioner - Urology | 8022383397 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Urologic Ambulatory Surgery Center, LLC | Urology | Current |
Accepting new patients |
| Baptist Memorial Hospital Union County, Inc. | Current |
Accepting new patients | |
| North Mississippi Medical Center | Current | Accepting new patients | |
| Urology Professional Association | Urology | Current |
Accepting new patients |
| Tupelo Anesthesia Group PA | Past | Accepting new patients |
Locations
1105 Earl Frye Blvd
Amory, MS 38821
Phone (662) 256-7111
200 State Highway 30 W
New Albany, MS 38652
Phone (601) 534-7631
499 Gloster Creek Vlg
Ste B8
Tupelo, MS 38801
Phone (662) 432-0700
499 Gloster Creek Vlg
Ste A1
Tupelo, MS 38801
Phone (662) 377-7100
2089 Southridge Dr
Tupelo, MS 38801
Phone (662) 407-0801
499 Gloster Creek Vlg
Tupelo, MS 38801
Phone (662) 377-2663
Interoperability endpoints
- jeremyarcher@nmhs.medalliesdirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | 29817 | MS | Yes |
Addresses
Primary practice location
499 Gloster Creek VLG Ste A1
Tupelo, MS 38801-4749
Mailing address
499 Gloster Creek VLG Ste A1
Tupelo, MS 38801-4749
Phone (662) 432-0700
Other practice location 1
200 State Highway 30 W
New Albany, MS 38652-3197
Phone (662) 432-0700
NPI Registry JSON
{
"created_epoch": "1493337600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752451200000",
"number": "1386179232",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "499 GLOSTER CREEK VLG STE A1",
"city": "TUPELO",
"state": "MS",
"postal_code": "388014749",
"telephone_number": "662-432-0700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "499 GLOSTER CREEK VLG STE A1",
"city": "TUPELO",
"state": "MS",
"postal_code": "388014749",
"telephone_number": "662-432-0700"
}
],
"practiceLocations": [
{
"address_1": "200 State Highway 30 W",
"address_purpose": "LOCATION",
"city": "New Albany",
"state": "MS",
"postal_code": "386523197",
"country_code": "US",
"telephone_number": "662-432-0700",
"fax_number": "662-842-0566",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ARCHER",
"first_name": "JEREMY",
"middle_name": "SCOTT",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-04-28",
"last_updated": "2025-07-14",
"certification_date": "2025-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "MS",
"license": "29817",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tupelo, MS
- Miranda Ankeny
- Ashlyn Anthony
- Apria Healthcare LLC
- Arcare
- Anna Archer
- Arden of Northeast Mississippi, LLC
- Amanda Armas
- Danielle Armes
- Eddie L Armstrong
- Angela Renee' Arnold
All providers in Tupelo, MS · Urology Physician in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 14, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.