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DIABETES TREATMENT CENTER
NPI 1073996005
Dietitian, Registered in Tupelo, MS

Active since July 08, 2015CLIA 25D2051534 · Certificate of Compliance
410 COUNCIL CIR, TUPELO, MS 38801(662) 377-2500(662) 377-2069 Get Directions Write a Review

NPPES record last updated: April 7, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Diabetes Treatment Center NPPES

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

DIABETES TREATMENT CENTER (NPI 1073996005) is a healthcare organization registered as a dietitian, registered in Tupelo, Mississippi and active in the NPI registry since July 2015. The organization holds a CLIA Certificate of Compliance certificate valid through March 19, 2027 and lists Gerald Kimbrough, Manager, as its authorized official.

NPPES Registry Identity

NPI1073996005
Entity TypeOrganization
Primary Taxonomy133V00000X
Legal Business NameNORTH MISSISSIPPI MEDICAL CLINICS INC
Location Address410 COUNCIL CIRTupelo, MS 38801-4938
Mailing Address450 E President AveTupelo, MS 38801-5599 · (662) 377-4685 · Fax (662) 377-2755
Phone(662) 377-2500
Fax(662) 377-2069
Organization SubpartNo
Authorized OfficialGerald KimbroughManager · (662) 377-4685
Enumeration DateJuly 8, 2015
Last NPPES UpdateApril 7, 2017
✔ NPI 1073996005 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
Definition
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.
Also ListedRegistered Nurse · Diabetes EducatorTaxonomy 163WD0400X
Also ListedNurse PractitionerTaxonomy 363L00000X
410 COUNCIL CIR, Tupelo, MS 38801
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Other Names 1

Doing Business AsDiabetes Treatment Center

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 25D2051534

Nmmc Dba Diabetes Treatment Center · Tupelo, MS
Active · expires Mar 19, 2027
CLIA Number25D2051534
Laboratory TypePhysician Office
Certificate Effective DateMarch 20, 2025
Certificate Expiration DateMarch 19, 2027
Laboratory DirectorSherry Smiechewicz
Laboratory Phone(662) 377-2500
Laboratory LocationNmmc Dba Diabetes Treatment Center410 Council Drive, Tupelo, MS 38801
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 4

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

RACHEL STEPHENS NICHOLS NP
Nurse Practitioner
410 COUNCIL CIR
TUPELO, MS 38801
Lee County (662) 377-2500
NORTH MISSISSIPPI MEDCIAL CENTER, INC.
Internal Medicine
410 COUNCIL CIR
TUPELO, MS 38801
Lee County (662) 377-2500
KENNETH ROBERT COOK NURSE PRACTITIONER
Nurse Practitioner (Family)
410 COUNCIL CIR
TUPELO, MS 38801
Lee County (662) 377-5400
LESLIE R VILLARRUBIA DNP, CFNP
Nurse Practitioner (Family)
410 COUNCIL CIR
TUPELO, MS 38801
Lee County (662) 377-2500

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 North Mississippi Medical Clinics Inc's NPI number?

The NPI number for North Mississippi Medical Clinics Inc is 1073996005. It was assigned to this organization in the NPPES registry on July 8, 2015. The provider is doing business as Diabetes Treatment Center.

Where is North Mississippi Medical Clinics Inc located?

North Mississippi Medical Clinics Inc is located at 410 Council Cir, Tupelo, MS 38801. The listed phone number is (662) 377-2500.

What is North Mississippi Medical Clinics Inc's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Does North Mississippi Medical Clinics Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 25D2051534) is associated with this NPI, valid through March 19, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for North Mississippi Medical Clinics Inc was last updated on April 7, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.