Active NPI
North Mississippi Medical Center, Inc.
Doing business as North Mississippi Behavioral Health Center-Oxford
- Psychologist
- Oxford, MS
National Provider Identifier
1689028391
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- Legal business name
- NORTH MISSISSIPPI MEDICAL CENTER, INC.
- Doing business as
- North Mississippi Behavioral Health Center-Oxford
- Practice address
- 2704 W Oxford Loop # 110
Oxford, MS 38655-5714 - Phone
- (662) 236-5773
- NPI assigned
- Apr 19, 2016
- Last updated
- Apr 19, 2016
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | Primary |
Addresses
Primary practice location
2704 W Oxford Loop # 110
Oxford, MS 38655-5714
Mailing address
2704 W Oxford Loop # 110
Oxford, MS 38655-5714
Phone (662) 236-5773
Other names 1
- North Mississippi Behavioral Health Center-Oxford
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 DirectoryPractitioners & affiliated clinicians
Practitioners 6
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.
-
- Psychologist
- Tupelo, MS
- NPI 1942248208
-
- Counselor
- Batesville, MS
- NPI 1427597855
-
- Clinical Social Worker
- Tupelo, MS
- NPI 1235531658
-
- Family Medicine Physician
- Fulton, MS
- NPI 1144457284
-
- Psychiatry Physician
- Columbus, MS
- NPI 1265819825
-
- Infectious Disease Physician
- Memphis, TN
- NPI 1275598781
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1461024000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1461024000000",
"number": "1689028391",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2704 W OXFORD LOOP # 110",
"city": "OXFORD",
"state": "MS",
"postal_code": "386555714",
"telephone_number": "662-236-5773"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2704 W OXFORD LOOP # 110",
"city": "OXFORD",
"state": "MS",
"postal_code": "386555714",
"telephone_number": "662-236-5773"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTH MISSISSIPPI MEDICAL CENTER, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2016-04-19",
"last_updated": "2016-04-19",
"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": "103T00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "North Mississippi Behavioral Health Center-Oxford",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Oxford, MS
- North Mississippi Foot Specialists, PC
- North Mississippi Hand Therapy (Oxford Hand Clinic)
- North Mississippi Hospice of Oxford
- North Mississippi Medcial Center, Inc. (NMMC Specialty Consultants Oxford)
- North Mississippi Medcial Center, Inc. (Cardiothoracic & Vascular Surgery Clinic)
- North Mississippi Medical Clinics Inc (Medical Clinic of Oxford)
- North Mississippi Medical Clinics, Inc. (South Oxford Medical Clinic)
- North Mississippi Primary Health Care, Inc. (Oxford Health Care Associates)
- North Mississippi Primary Health Care, Inc. (Charger Health and Wellness)
- North Mississippi Primary Health Care, Inc. (Oxford Dental Clinic)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 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.