# NORTH MISSISSIPPI MEDICAL CENTER

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Family Medicine Residency Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1285745885
- **Authorized official:** GERALD WAGES (COO)
- **Authorized official phone:** (662) 377-3000

## Contact information

- **Practice address:** 1665 S GREEN ST, TUPELO, MS 38804-6556
- **Practice address phone:** (662) 377-2189
- **Practice address fax:** (662) 377-2263
- **Mailing address:** 450 E PRESIDENT AVE, TUPELO, MS 38801-5599
- **Mailing address phone:** (662) 377-4685
- **Mailing address fax:** (662) 377-2755

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/31/2006
- **Last updated:** 07/11/2007