Organization Active NPI

Mid-South Neurology-Sleep Medical Clinic PLLC

  • Neurology Physician
  • Corinth, MS
National Provider Identifier
1538436167
Registry record updated Jul 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
18354 Issued in MS
Legal business name
MID-SOUTH NEUROLOGY-SLEEP MEDICAL CLINIC PLLC
Practice address
2425 Proper St
Corinth, MS 38834-5394
Phone
(662) 396-9447
Fax
(662) 396-9449
NPI assigned
Nov 28, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2026

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

Authorized official

Name
Mrs. Ashley Taylor
Title
Credentialing Manager
Phone
(662) 396-9447

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084N0400X 18354 MS Primary

Addresses

Primary practice location

2425 Proper St
Corinth, MS 38834-5394

Mailing address

2425 Proper St
Corinth, MS 38834-5394
Phone (662) 396-9447

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111212000609 MS Part B Supplier - Clinic/Group Practice 7517132095 Receives reassigned benefits from 1 practitioner
Practice locations: Corinth, MS; Tupelo, MS; Southaven, MS

National Provider Directory

National Provider Directory

Locations

510 Azalea Dr
Ste 100
Oxford, MS 38655
Phone (662) 533-9000

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1322438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784505600000",
    "number": "1538436167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2425 PROPER ST",
            "city": "CORINTH",
            "state": "MS",
            "postal_code": "388345394",
            "telephone_number": "662-396-9447",
            "fax_number": "662-396-9449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2425 PROPER ST",
            "city": "CORINTH",
            "state": "MS",
            "postal_code": "388345394",
            "telephone_number": "662-396-9447",
            "fax_number": "662-396-9449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID-SOUTH NEUROLOGY-SLEEP MEDICAL CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-28",
        "last_updated": "2026-07-20",
        "certification_date": "2026-07-20",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "662-396-9447",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MS",
            "license": "18354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corinth, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2026; 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.