NPIMap

Organization Active NPI

North Mississippi Medical Center, Inc.

Doing business as North Mississippi Medical Center

  • General Acute Care Hospital
  • Tupelo, MS
National Provider Identifier
1598875460
Registry record updated Sep 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
13-063 Issued in MS
Legal business name
NORTH MISSISSIPPI MEDICAL CENTER, INC.
Doing business as
North Mississippi Medical Center
Practice address
830 S Gloster St
Tupelo, MS 38801-4934
Phone
(662) 377-3000
NPI assigned
Aug 30, 2006
Last updated
Sep 19, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
NORTH MISSISSIPPI MEDICAL CENTER, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 19, 2023

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

Authorized official

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

Specialties & licenses 1

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

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 names 1

  • North Mississippi Medical Center Doing business as

Medicare participation

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

Enrollment records 1

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

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1598875460. Details of each certification follow.

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
CorporationNon-profit
Incorporated
Apr 2, 1982 in DE
Enrollment address
830S Gloster St
Tupelo, MS 38801-4934
Hospital subgroups
Acute care

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

Other NPIs with the same Medicare PAC ID 8

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

Care Compare: Hospital

Medicare Care Compare
Listed as
North Mississippi Medical CenterCCN 250004 · All quality measures
Overall star rating
2 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Part of
North Mississippi Med C

Ownership & related parties

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 DirectorBoard Member Oct 1, 2021
Calude Waycaster Individual Corporate DirectorBoard Member Oct 1, 2021
William H Milam Individual Corporate DirectorBoard 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 OfficerSecretary Nov 1, 1997
Lewis Whitfield Individual Corporate DirectorBoard Member Oct 1, 2021
Sharon D Nobles Individual Corporate OfficerTreasurer Apr 4, 2017
Samuel Jeffery Sliman Individual Corporate DirectorBoard Member Oct 1, 2021
William Holliman Individual Corporate DirectorBoard Member Nov 1, 2011
Samuel C Pace Individual Corporate DirectorBoard Member Oct 1, 2021
Michael S Spees Individual Operational/Managerial ControlCeo Feb 1, 2014
John Wheeler Individual Corporate DirectorBoard Member Oct 1, 2021
Gary Lynn Sparkman Individual Corporate DirectorBoard Member Oct 1, 2021
Barney J Guyton Individual Corporate DirectorBoardmember Nov 1, 2011
Chris Rogers Individual Corporate DirectorBoard Member Nov 1, 2011
David Copenhaver Individual Corporate DirectorBoard Member Oct 1, 2021
Chester K White Individual Corporate DirectorBoard Member Oct 1, 2021
David Wilson Individual W-2 Managing Employee Mar 30, 2015

Owners & managing parties with NPI records 2

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

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 FacilityBaldwyn, 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 - TupeloTupelo, MS, CCN 258551 Rural health clinic 5% Or Greater Indirect Ownership Interest (100%) Aug 24, 1992

Owned or controlled facilities with NPI records 2

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

Facilities with the same owner 33

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

View all 33

Practitioners & affiliated clinicians

Practitioners 90

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.

View all 90

Affiliated clinicians 888

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

View all 888

NPI Registry JSON

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

{
    "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": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North Mississippi Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tupelo, MS

Sources for this page

Verify at the official NPI Registry.