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.
Organization
NORTH MISSISSIPPI MEDICAL CLINICS INC
Active
Organization
NORTH MISSISSIPPI MEDICAL CLINICS INC
Active
Other names
Cardiothoracic Surgery Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
GERALD KIMBROUGH (MANAGER)
(662) 377-4685
Entity
Organization
Contact information
Practice address
830 S GLOSTER ST, 3RD FLOOR EAST TOWER, TUPELO, MS 38801-4934
(662) 377-7170
(662) 377-2423
Mailing address
830 S GLOSTER ST, 3RD FLOOR EAST TOWER, TUPELO, MS 38801-4934
(662) 377-7170
(662) 377-2423
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C02394
MEDICARE GROUP
MS
Enumeration date
12/10/2009
Last updated
06/02/2014
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up