NPIMap

Clay County Medical Corporation

Organization Active NPI Surgery Physician · Eupora, MS

NPI 1639684152 · NPPES record last updated Jan 20, 2025

Key facts

NPI
1639684152
Entity type
Organization (NPI type 2)
Primary specialty
Surgery Physician 208600000X
Legal business name
CLAY COUNTY MEDICAL CORPORATION
Practice address
70 Medical PLZ
Eupora, MS 39744-4018
Phone
(662) 258-9400
Fax
(662) 258-9433
NPI assigned
Dec 6, 2017
Organization subpart
No

Authorized official

Name
Bruce Toppin
Title
Corporate Secretary
Phone
(662) 377-4229

Other NPIs on the same Medicare enrollment 14

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Corporate family (same tax ID) 17

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 5

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

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MS

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20041119000718 MS Part B Supplier - Clinic/Group Practice 4789649609 Receives reassigned benefits from 98 practitioners
14 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: West Point, MS; Starkville, MS; Eupora, MS; Aberdeen, MS

National Provider Directory

Tax ID family
Clay Cty Med Corp (18 organizations share this tax ID)

Locations

187 Medical Center Dr
West Point, MS 39773
Phone (662) 492-3175

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 208600000X Yes

Addresses

Primary practice location

70 Medical PLZ
Eupora, MS 39744-4018

Mailing address

808 Varsity Dr
Tupelo, MS 38801-4613
Phone (662) 377-2774

Other identifiers

IdentifierTypeStateIssuer
355782OtherMSMEDICARE
000928851MedicaidMS

Other names

  • North Mississippi Surgery Clinic Eupora Doing business as

Other providers in Eupora, MS

All providers in Eupora, MS · Surgery Physician in Mississippi

Sources for this page

Verify at the official NPI Registry.