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North Mississippi Medical Center, Inc.

Organization Active NPI General Acute Care Hospital · Tupelo, MS

NPI 1598875460 · NPPES record last updated Sep 19, 2023

Key facts

NPI
1598875460
Entity type
Organization (NPI type 2)
Primary specialty
General Acute Care Hospital 282N00000X
License
13-063 (MS)
Legal business name
NORTH MISSISSIPPI MEDICAL CENTER, INC.
Practice address
830 S Gloster St
Tupelo, MS 38801-4934
Phone
(662) 377-3000
NPI assigned
Aug 30, 2006
Organization subpart
Yes
Parent organization (as reported)
NORTH MISSISSIPPI MEDICAL CENTER, INC

Authorized official

Name
Mr. Bruce Toppin
Title
Corporate Secretary
Phone
(662) 377-3000

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Other NPIs with the same Medicare PAC ID 8

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Facilities connected through Provider of Services related, parent or unit certification numbers.

Facilities with the same owner 33

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 33

Practitioners 399

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

View all 399

Affiliated clinicians 888

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 888

Medicare Care Compare: Hospital

Listed as
North Mississippi Medical Center CCN 250004
Overall star rating
★★☆☆☆ 2 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
Active (Provider of Services file)
Emergency services
Yes

Source: Medicare Care Compare.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MS

Hospital certification: CCN 250004

Legal name
NORTH MISSISSIPPI MEDICAL CENTER, INC.
Doing business as
NORTH MS MEDICAL CENTER
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Jun 11, 2009
Beds
650
Ownership / control type
Private (not for profit)
Organization structure
Corporation · Non-profit
Incorporated
Apr 2, 1982 in DE
Enrollment address
830S Gloster St
Tupelo, MS 38801-4934
Hospital subgroups
Acute care

All disclosed owners & managing parties 18

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Barry D Bertolet
Individual 		Corporate Director
Board Member		 Oct 1, 2021
Calude Waycaster
Individual 		Corporate Director
Board Member		 Oct 1, 2021
William H Milam
Individual 		Corporate Director
Board Member		 Nov 1, 2011
North Mississippi Health Services Inc
Organization · Tupelo, MS
Non-profit 		5% Or Greater Direct Ownership Interest Apr 2, 1982
Bruce J Toppin
Individual 		Corporate Officer
Secretary		 Nov 1, 1997
Lewis Whitfield
Individual 		Corporate Director
Board Member		 Oct 1, 2021
Sharon D Nobles
Individual 		Corporate Officer
Treasurer		 Apr 4, 2017
Samuel Jeffery Sliman
Individual 		Corporate Director
Board Member		 Oct 1, 2021
William Holliman
Individual 		Corporate Director
Board Member		 Nov 1, 2011
Samuel C Pace
Individual 		Corporate Director
Board Member		 Oct 1, 2021
Michael S Spees
Individual 		Operational/Managerial Control
Ceo		 Feb 1, 2014
John Wheeler
Individual 		Corporate Director
Board Member		 Oct 1, 2021
Gary Lynn Sparkman
Individual 		Corporate Director
Board Member		 Oct 1, 2021
Barney J Guyton
Individual 		Corporate Director
Boardmember		 Nov 1, 2011
Chris Rogers
Individual 		Corporate Director
Board Member		 Nov 1, 2011
David Copenhaver
Individual 		Corporate Director
Board Member		 Oct 1, 2021
Chester K White
Individual 		Corporate Director
Board Member		 Oct 1, 2021
David Wilson
Individual 		W-2 Managing Employee Mar 30, 2015

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Baldwyn Nursing Facility
Baldwyn, MS · CCN 255161		 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Adp of the SNF		 Mar 16, 2009
Mar 16, 2009
Mar 16, 2009
Childrens Clinic - Tupelo
Tupelo, MS · CCN 258551		 Rural health clinic 5% Or Greater Indirect Ownership Interest (100%) Aug 24, 1992

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20071119000448 MS Part a Provider - Hospital 9931010600 Practice locations: Tupelo, MS

National Provider Directory

Part of
Anant Shenoy MD

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 13-063 MS Yes

Addresses

Primary practice location

830 S Gloster St
Tupelo, MS 38801-4934

Mailing address

830 S Gloster St
Tupelo, MS 38801-4934
Phone (662) 377-3000

Other identifiers

IdentifierTypeStateIssuer
00020081MedicaidMS
1708496MedicaidLA
HOS0004PMedicaidAL
000020081OtherMSBLUE CROSS
0250004MedicaidTN

Other names

  • North Mississippi Medical Center Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Sep 19, 2023.

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695081600000",
    "number": "1598875460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "830 S GLOSTER ST",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388014934",
            "telephone_number": "662-377-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 S GLOSTER ST",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388014934",
            "telephone_number": "662-377-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH MISSISSIPPI MEDICAL CENTER, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NORTH MISSISSIPPI MEDICAL CENTER, INC",
        "enumeration_date": "2006-08-30",
        "last_updated": "2023-09-19",
        "certification_date": "2023-09-19",
        "status": "A",
        "authorized_official_last_name": "TOPPIN",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_title_or_position": "CORPORATE SECRETARY",
        "authorized_official_telephone_number": "662-377-3000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "MS",
            "license": "13-063",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00020081",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1708496",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HOS0004P",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "000020081",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0250004",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North Mississippi Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tupelo, MS

All providers in Tupelo, MS · General Acute Care Hospital in Mississippi

Sources for this page

Verify at the official NPI Registry.