North Mississippi Medical Center, Inc

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

NORTH MISSISSIPPI MEDICAL CENTER, INC

Doing business as

North Mississippi Regional Pain Consultants-Southridge

Practice address

2089 Southridge Dr
Tupelo, MS 38801-6478

Phone

(662) 407-0801

Fax

(662) 407-0807

NPI assigned

Sep 29, 2023

Last updated

Sep 29, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Bruce Toppin

Title

Corporate Secretary

Phone

(662) 377-4229

Specialties & licenses 2

Addresses

Other names 1

• North Mississippi Regional Pain Consultants-Southridge Doing business as

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

Practitioners 2

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.

• Katelyn Mitchell, MD

  • Hospitalist Physician
  • Huntsville, AL
  • NPI 1003471699
  NPD
• Israel Oloye, MD

  • Family Medicine Physician
  • Norwich, CT
  • NPI 1437641883
  NPD

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

{
    "created_epoch": "1695945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695945600000",
    "number": "1790565521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "808 VARSITY DR",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388014613",
            "telephone_number": "662-377-2774",
            "fax_number": "662-377-2057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2089 SOUTHRIDGE DR",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388016478",
            "telephone_number": "662-407-0801",
            "fax_number": "662-407-0807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH MISSISSIPPI MEDICAL CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-29",
        "last_updated": "2023-09-29",
        "certification_date": "2023-09-28",
        "status": "A",
        "authorized_official_last_name": "TOPPIN",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_title_or_position": "CORPORATE SECRETARY",
        "authorized_official_telephone_number": "662-377-4229"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North Mississippi Regional Pain Consultants-Southridge",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• North Mississippi Medical Center Services LLC
• North Mississippi Medical Center Services LLC (Ortho Trauma Services Clinic)
• North Mississippi Medical Center Services LLC (Ortho Trauma Services Clinic 2)
• North Mississippi Medical Center Services, LLC (Vein Center)
• North Mississippi Medical Center, Inc (North Mississippi Regional Pain Consultants)
• North Mississippi Medical Center, Inc (North Mississippi Medical Center Hematology Oncology)
• North Mississippi Medical Center, Inc. (North MS Medical Center Home Health Agency)
• North Mississippi Medical Center, Inc. (North Mississippi Neurosurgical Services)
• North Mississippi Medical Center, Inc. (Cardiothoracic & Vascular Surgery Clinic)
• North Mississippi Medical Center, Inc. (North Mississippi Eye Care Tupelo)

• Nurse Practitioner in Tupelo, MS
• Providers in Tupelo, MS by specialty
• Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2023; 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.