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EAST MISSISSIPPI COMMUNITY COLLEGE
NPI 1043780836
General Practice in Scooba, MS

Active since December 05, 2018
1512 KEMPER ST, SCOOBA, MS 39358(972) 367-4845 Get Directions Write a Review

NPPES record last updated: December 5, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About East Mississippi Community College NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EAST MISSISSIPPI COMMUNITY COLLEGE (NPI 1043780836), doing business as Emcc Sports Medicine, is a healthcare organization registered as a general practice in Scooba, Mississippi and active in the NPI registry since December 2018. The organization lists Mouzon Bass, Administrator/agent, as its authorized official.

NPPES Registry Identity

NPI1043780836
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameEAST MISSISSIPPI COMMUNITY COLLEGE
Location Address1512 KEMPER STScooba, MS 39358-7601
Mailing Address5050 Spring Valley RdDallas, TX 75244-3995
Phone(972) 367-4845
Organization SubpartNo
Authorized OfficialMouzon BassAdministrator/agent · (972) 367-4845
Enumeration DateDecember 5, 2018
✔ NPI 1043780836 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
1512 KEMPER ST, Scooba, MS 39358
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Other Names 1

Doing Business AsEmcc Sports Medicine

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

STEVEN BONTRAGER ATC
Specialist/Technologist (Athletic Trainer)
1512 KEMPER ST
SCOOBA, MS 39358
Kemper County (662) 476-5272
RYOTA NAKAGI
Specialist/Technologist (Athletic Trainer)
1512 KEMPER ST
SCOOBA, MS 39358
Kemper County (304) 905-5234

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is East Mississippi Community College's NPI number?

The NPI number for East Mississippi Community College is 1043780836. It was assigned to this organization in the NPPES registry on December 5, 2018. The provider is doing business as EMCC Sports Medicine.

Where is East Mississippi Community College located?

East Mississippi Community College is located at 1512 Kemper St, Scooba, MS 39358. The listed phone number is (972) 367-4845.

What is East Mississippi Community College's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for East Mississippi Community College was last updated on December 5, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.