NPIMap

Organization Active NPI

North Mississippi Medical Center

  • Primary Care Clinic/Center
  • Booneville, MS
National Provider Identifier
1992258255
Registry record updated Aug 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
901548 Issued in MS
Legal business name
NORTH MISSISSIPPI MEDICAL CENTER
Practice address
1301 N 2ND St
Booneville, MS 38829-1028
Phone
(662) 728-2071
NPI assigned
Aug 3, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2016

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

Authorized official

Name
Gerald Kimbrough
Title
Director
Phone
(662) 377-5201

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 901548 MS Primary

Addresses

Primary practice location

1301 N 2ND St
Booneville, MS 38829-1028

Mailing address

1150 S Green St
Tupelo, MS 38804-4901

National Provider Directory

National Provider Directory
Tax ID family
North Ms Family Med CL51 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 12

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

NPI Registry JSON

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

{
    "created_epoch": "1470182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470182400000",
    "number": "1992258255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 S GREEN ST",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388044901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 N 2ND ST",
            "city": "BOONEVILLE",
            "state": "MS",
            "postal_code": "388291028",
            "telephone_number": "662-728-2071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH MISSISSIPPI MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-03",
        "last_updated": "2016-08-03",
        "status": "A",
        "authorized_official_last_name": "KIMBROUGH",
        "authorized_official_first_name": "GERALD",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "662-377-5201"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "MS",
            "license": "901548",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Booneville, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.