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MARATHON HEALTH LLC
NPI 1124989520
Nurse Practitioner - Primary Care in Tupelo, MS

Active since November 24, 2025
1804 S GREEN ST, TUPELO, MS 38804(812) 371-5762 Get Directions Write a Review

NPPES record last updated: November 24, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Marathon Health Llc NPPES

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

MARATHON HEALTH LLC (NPI 1124989520) is a healthcare organization registered as a primary care in Tupelo, Mississippi and active in the NPI registry since November 2025. The organization lists Charles Van Every, Manager, as its authorized official.

NPPES Registry Identity

NPI1124989520
Entity TypeOrganization
Primary Taxonomy363LP2300X
Legal Business NameMARATHON HEALTH LLC
Location Address1804 S GREEN STTupelo, MS 38804-6504
Mailing Address1804 S Green StTupelo, MS 38804-6504 · (812) 371-5762
Phone(812) 371-5762
Organization SubpartYes
Authorized OfficialCharles Van EveryManager · (408) 406-9645
Enumeration DateNovember 24, 2025
NPPES CertifiedNovember 24, 2025
✔ NPI 1124989520 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
1804 S GREEN ST, Tupelo, MS 38804
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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 SINGLE SPECIALTY GROUP

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 Marathon Health LLC's NPI number?

The NPI number for Marathon Health LLC is 1124989520. It was assigned to this organization in the NPPES registry on November 24, 2025.

Where is Marathon Health LLC located?

Marathon Health LLC is located at 1804 S Green St, Tupelo, MS 38804. The listed phone number is (812) 371-5762.

What is Marathon Health LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

When was this NPI record last updated?

The NPPES record for Marathon Health LLC was last updated on November 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.