NPIMap

Organization Active NPI

Linda a Foster MD PC

Doing business as Northstar Primary Care

  • Family Medicine Physician
  • Southaven, MS
National Provider Identifier
1891352514
Registry record updated Jul 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
LINDA A FOSTER MD PC
Doing business as
Northstar Primary Care
Practice address
7900 Airways Blvd BLDG C1
Southaven, MS 38671-4114
Phone
(662) 807-4199
Fax
(662) 807-4201
NPI assigned
May 29, 2019
Last updated
Jul 12, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2019

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

Authorized official

Name
James Timothy WilsonNPI 1952653990
Title
Ceo
Phone
(901) 751-0939

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

7900 Airways Blvd BLDG C1
Southaven, MS 38671-4114

Mailing address

1540 Appling Care LN Ste 105
Cordova, TN 38016-4947
Phone (901) 444-3950

Other practice location 1

341 E Main St Ste A1
Tupelo, MS 38804-4040
Phone (662) 807-4199

Other names 1

  • Northstar Primary Care Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
25D2190666Northstar Primary Care7900 Airways Blvd BLDG C1, Southaven, MS 38671Certificate of waiverAug 17, 2026

National Provider Directory

National Provider Directory

Locations

341 E Main St
#1
Tupelo, MS 38804
Phone (662) 807-4199

341 E Main St
Ste A1
Tupelo, MS 38804
Phone (662) 680-2636

1540 Appling Care Ln
Ste 105
Cordova, TN 38016
Phone (901) 202-0733

Practitioners & affiliated clinicians

Practitioners 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1559088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562889600000",
    "number": "1891352514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1540 APPLING CARE LN STE 105",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380164947",
            "telephone_number": "901-444-3950",
            "fax_number": "901-444-3866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7900 AIRWAYS BLVD BLDG C1",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386714114",
            "telephone_number": "662-807-4199",
            "fax_number": "662-807-4201"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "341 E Main St Ste A1",
            "address_purpose": "LOCATION",
            "city": "Tupelo",
            "state": "MS",
            "postal_code": "388044040",
            "country_code": "US",
            "telephone_number": "662-807-4199",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LINDA A FOSTER MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-29",
        "last_updated": "2019-07-12",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "TIMOTHY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "901-751-0939"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northstar Primary Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Northstar Primary Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Southaven, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.