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

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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. (41 clinicians)
Urology Professional Association (15 clinicians)

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 Hospital · Tupelo, MS · CCN 250004
  • Baptist Memorial Hospital Union County Hospital · New Albany, MS · CCN 250006
  • Magnolia Regional Health Center Hospital · Corinth, MS · CCN 250009
  • North Mississippi Medical Center-Gilmore Amory Hospital · Amory, MS · CCN 250025

Merit-based Incentive Payment System (MIPS)

Final score
95.8 of 100 (group)
Quality
91.59
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection57
Removal of tissue1-10

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 IDStateProvider typePAC IDDetails
I20220628001444 MS Practitioner - Urology 8022383397 Reassigns benefits to 3 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Urologic Ambulatory Surgery Center, LLC Urology Current
since Aug 1, 2022
Accepting new patients
Baptist Memorial Hospital Union County, Inc. Current
since Aug 1, 2025
Accepting new patients
North Mississippi Medical Center Current Accepting new patients
Urology Professional Association Urology Current
since Aug 1, 2022
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

  • Direct secure messaging: jeremyarcher@nmhs.medalliesdirect.net

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
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

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 14, 2025.

{
    "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

All providers in Tupelo, MS · Urology Physician in Mississippi

Sources for this page

Verify at the official NPI Registry.