Healthcare Provider Details
I. General information
NPI: 1427964758
Provider Name (Legal Business Name): NORTH MISSISSIPPI MEDCIAL CENTER, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/19/2026
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1205 HIGHWAY 182 W
STARKVILLE MS
39759-9820
US
IV. Provider business mailing address
808 VARSITY DR
TUPELO MS
38801-4613
US
V. Phone/Fax
- Phone: 662-320-8545
- Fax: 662-320-8981
- Phone: 662-377-2774
- Fax: 662-377-2057
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207RH0003X |
| Taxonomy | Hematology & Oncology Physician |
| License Number | |
| License Number State | NULL |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363L00000X |
| Taxonomy | Nurse Practitioner |
| License Number | |
| License Number State | NULL |
VIII. Authorized Official
Name:
BRUCE
TOPPIN
Title or Position: CORPORATE SECRETARY
Credential:
Phone: 662-377-4229