NPIMap

Organization Active NPI

North Mississippi Medical Center, Inc.

Doing business as North Mississippi Behavioral Health Center- Hematology/Oncology

  • Clinical Social Worker
  • Tupelo, MS
National Provider Identifier
1427404235
Registry record updated May 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
NORTH MISSISSIPPI MEDICAL CENTER, INC.
Doing business as
North Mississippi Behavioral Health Center- Hematology/Oncology
Practice address
961 S Gloster St
Suite a
Tupelo, MS 38801-6343
Phone
(662) 377-2964
NPI assigned
May 11, 2016
Last updated
May 11, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2016

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

Authorized official

Name
Joseph Reppert
Title
Executive VP
Phone
(662) 377-3000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X NU Primary

Addresses

Primary practice location

961 S Gloster St
Suite a
Tupelo, MS 38801-6343

Mailing address

961 S Gloster St
Suite a
Tupelo, MS 38801-6343
Phone (662) 377-2964

Other names 1

  • North Mississippi Behavioral Health Center- Hematology/Oncology Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 Directory
Tax ID family
Benjamin Groves MD65 organizations share this tax ID, including this one

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

Locations

499 Gloster Creek Vlg
Ste S2
Tupelo, MS 38801
Phone (662) 377-6331

961 S Gloster St
Ste A
Tupelo, MS 38801
Phone (662) 377-2964

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1462924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462924800000",
    "number": "1427404235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "961 S GLOSTER ST",
            "address_2": "SUITE A",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388016343",
            "telephone_number": "662-377-2964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "961 S GLOSTER ST",
            "address_2": "SUITE A",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388016343",
            "telephone_number": "662-377-2964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH MISSISSIPPI MEDICAL CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-11",
        "last_updated": "2016-05-11",
        "status": "A",
        "authorized_official_last_name": "REPPERT",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "EXECUTIVE VP",
        "authorized_official_telephone_number": "662-377-3000"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North Mississippi Behavioral Health Center- Hematology/Oncology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tupelo, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2016; 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.