Active NPI
North Mississippi Medical Center, Inc
Doing business as Cardiothoracic & Vascular Surgery Clinic
- Vascular Surgery Physician
- Corinth, MS
National Provider Identifier
1396226791
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- License
- 24402
- Legal business name
- NORTH MISSISSIPPI MEDICAL CENTER, INC
- Doing business as
- Cardiothoracic & Vascular Surgery Clinic
- Practice address
- 616 Alcorn Dr
Corinth, MS 38834-9393 - Phone
- (662) 377-7170
- NPI assigned
- Aug 23, 2018
- Last updated
- Jan 22, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Bruce Toppin
- Title
- Corporate Secretary
- Phone
- (662) 377-4229
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular Surgery Physician | 2086S0129X | 24402 | MS | Primary |
Addresses
Primary practice location
616 Alcorn Dr
Corinth, MS 38834-9393
Mailing address
808 Varsity Dr
Tupelo, MS 38801-4613
Phone (662) 377-3204
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 005085240 | Medicaid | MS |
Other names 1
- Cardiothoracic & Vascular Surgery Clinic
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040413000541 | MS | Part B Supplier - Clinic/Group Practice | 9931010600 |
Receives reassigned benefits from 570 practitioners This NPI is an additional NPI on the enrollment Practice locations: Tupelo, MS; West Point, MS; Starkville, MS; Corinth, MS; Oxford, MS |
National Provider Directory
National Provider DirectoryLocations
499 Gloster Creek Vlg
Ste S3
Tupelo, MS 38801
Phone (662) 377-8025
Practitioners & affiliated clinicians
Practitioners 10
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.
-
- Neonatal-Perinatal Medicine Physician
- Tupelo, MS
- NPI 1699296079
-
- Family Nurse Practitioner
- Tupelo, MS
- NPI 1194497032
-
- Hematology & Oncology Physician
- Tupelo, MS
- NPI 1427055185
-
- Acute Care Nurse Practitioner
- Starkville, MS
- NPI 1255978367
-
- Pulmonary Disease Physician
- Tupelo, MS
- NPI 1689614513
-
- Family Nurse Practitioner
- Tupelo, MS
- NPI 1316588858
-
- Hospitalist Physician
- Jackson, TN
- NPI 1962479451
-
- Urology Physician
- Houston, TX
- NPI 1093924714
-
- Surgery Physician
- Morgantown, WV
- NPI 1194388769
-
- Psychiatry Physician
- Memphis, TN
- NPI 1740283910
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1534982400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1737504000000",
"number": "1396226791",
"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": "662-377-3204",
"fax_number": "662-377-2057"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "616 ALCORN DR",
"city": "CORINTH",
"state": "MS",
"postal_code": "388349393",
"telephone_number": "662-377-7170"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTH MISSISSIPPI MEDICAL CENTER, INC",
"organizational_subpart": "NO",
"enumeration_date": "2018-08-23",
"last_updated": "2025-01-22",
"certification_date": "2025-01-22",
"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"
},
"taxonomies": [
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "MS",
"license": "24402",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "005085240",
"state": "MS"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Cardiothoracic & Vascular Surgery Clinic",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Corinth, MS
- Brooke Norris, B.S
- North Harper Imaging Center, Inc.
- North Harper Minor Medical Clinic, LLC (North Harper Minor Medical Clinic)
- North Mississippi Clinics LLC (Cardiology Associates of North MS Clinic)
- North Mississippi Hematology & Oncology Assoc. LTD
- North Mississippi Medical Center, Inc. (NMHS Bariatric Clinic-Corinth)
- North Mississippi Medical Center, Inc. (North Mississippi Medical Center Specialty Clinic)
- North Mississippi Medical Center, Inc. (North Mississippi Regional Pain Consultants)
- North Mississippi Medical Center, Inc. (NMMC Breast and General Surgery Clinic-Corinth)
- North Mississippi Primary Health Care, Inc. (Corinth Community Health Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2025; 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.