NORTH MISSISSIPPI STATE HOSPITAL
NPI 1114054301
Psychiatric Hospital in Tupelo, MS

Active since February 27, 2007CLIA 25D0958305 · Waiver
1937 BRIAR RIDGE RD, TUPELO, MS 38804(662) 690-4200(662) 690-4227 Get Directions Write a Review

NPPES record last updated: March 11, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About North Mississippi State Hospital NPPES

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

NORTH MISSISSIPPI STATE HOSPITAL (NPI 1114054301) is a healthcare organization registered as a psychiatric hospital in Tupelo, Mississippi and active in the NPI registry since February 2007. The organization holds a CLIA Waiver certificate valid through March 15, 2027 and lists Paul A Callens, Facility Director, as its authorized official.

NPPES Registry Identity

NPI1114054301
Entity TypeOrganization
Primary Taxonomy283Q00000X
Legal Business NameNORTH MISSISSIPPI STATE HOSPITAL
Location Address1937 BRIAR RIDGE RDTupelo, MS 38804-5963
Mailing Address1937 Briar Ridge RdTupelo, MS 38804-5963 · (662) 690-4200 · Fax (662) 690-4227
Fax(662) 690-4227
Organization SubpartNo
Authorized OfficialPaul A CallensFacility Director · (662) 690-4200
Enumeration DateFebruary 27, 2007
Last NPPES UpdateMarch 11, 2011
NPI 1114054301 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatric HospitalHospitals
Taxonomy Code283Q00000X
License Licensed in MS · 31328
Definition
An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings.
1937 BRIAR RIDGE RD, Tupelo, MS 38804

Other Identifiers 1

Medicare ID-Type Unspecified254009MS · Ip Hospitalization

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 Waiver 25D0958305

North Mississippi State Hospital · Tupelo, MS
Active · expires Mar 15, 2027
CLIA Number25D0958305
Laboratory TypeHospital
Certificate Effective DateMarch 16, 2025
Certificate Expiration DateMarch 15, 2027
Laboratory DirectorDr. Jason Pickett
Laboratory Phone(662) 690-4200
Laboratory LocationNorth Mississippi State Hospital1937 Briar Ridge Road, Tupelo, MS 38804
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Hospital Quality Ratings CMS Care Compare

Quality and patient-experience ratings for North Mississippi State Hospital (CMS certification number 254009), from CMS Care Compare.

North Mississippi State Hospital

Psychiatric · Tupelo, MS
OwnershipGovernment - State
CMS Certification Number254009
Location1937 Briar Ridge RdTupelo, MS 38804 · Lee County · (662) 690-4200

Other Providers at the Same Location NPPES 5

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

Nurse Practitioner (Psychiatric/Mental Health)
1937 BRIAR RIDGE RD
TUPELO, MS 38804
Pharmacy (Institutional Pharmacy)
1937 BRIAR RIDGE RD
TUPELO, MS 38804
Nurse Practitioner
1937 BRIAR RIDGE RD
TUPELO, MS 38804
Nurse Practitioner (Psychiatric/Mental Health)
1937 BRIAR RIDGE RD
TUPELO, MS 38804
Nurse Practitioner (Psychiatric/Mental Health)
1937 BRIAR RIDGE RD
TUPELO, MS 38804

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 State Hospital's NPI number?

The NPI number for North Mississippi State Hospital is 1114054301. It was assigned to this organization in the NPPES registry on February 27, 2007.

Where is North Mississippi State Hospital located?

North Mississippi State Hospital is located at 1937 Briar Ridge Rd, Tupelo, MS 38804. The listed phone number is (662) 690-4200.

What is North Mississippi State Hospital's specialty?

The primary specialty registered for this NPI is Psychiatric Hospital with taxonomy code 283Q00000X.

Does North Mississippi State Hospital hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 25D0958305) is associated with this NPI, valid through March 15, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is North Mississippi State Hospital a Medicare-certified hospital?

Yes. North Mississippi State Hospital is a Medicare-certified hospital (Psychiatric).

When was this NPI record last updated?

The NPPES record for North Mississippi State Hospital was last updated on March 11, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.