NORTH MISSISSIPPI FACULTY PRACTICE PLAN LLC
NPI 1255692356
Family Medicine in Tupelo, MS
About North Mississippi Faculty Practice Plan Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NORTH MISSISSIPPI FACULTY PRACTICE PLAN LLC (NPI 1255692356), doing business as Family Medicine Residency Center, is a healthcare organization registered as a family medicine in Tupelo, Mississippi and active in the NPI registry since June 2012. The organization lists Bruce Toppin, Corporate Secretary, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
North Mississippi Faculty Practice Plan Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by March 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
10Medicare enrollment records show 10 clinicians reassign Medicare billing to North Mississippi Faculty Practice Plan LLC, which bills Medicare for the services they deliver. Of these, 5 practice at this address and 7 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 3
Clinicians, nearest first (10)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Faculty Practice Plan LLC's NPI number?
The NPI number for North Mississippi Faculty Practice Plan LLC is 1255692356. It was assigned to this organization in the NPPES registry on June 5, 2012. The provider is doing business as Family Medicine Residency Center.
Where is North Mississippi Faculty Practice Plan LLC located?
North Mississippi Faculty Practice Plan LLC is located at 1665 S Green St, Tupelo, MS 38804. The listed phone number is (662) 377-2189.
What is North Mississippi Faculty Practice Plan LLC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is North Mississippi Faculty Practice Plan LLC enrolled in Medicare?
Yes. North Mississippi Faculty Practice Plan LLC is registered in the Medicare PECOS enrollment system.
When is North Mississippi Faculty Practice Plan LLC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Mississippi, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through North Mississippi Faculty Practice Plan LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 10 clinicians in 3 Medicare specialties reassign their Medicare billing to North Mississippi Faculty Practice Plan LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Family Practice (8), Clinical Social Worker (1) and Pediatric Medicine (1). Of these, 5 practice at this address and 7 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does North Mississippi Faculty Practice Plan LLC accept?
Health plans from Molina Healthcare list North Mississippi Faculty Practice Plan LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for North Mississippi Faculty Practice Plan LLC was last updated on January 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.
# North Mississippi Faculty Practice Plan Llc · NPI 1255692356
Family Medicine organization in Tupelo, Mississippi. Organization record, active in the CMS NPPES registry since June 5, 2012.
## Identity
- **NPI:** 1255692356 (Entity type: Organization)
- **Enumerated:** June 5, 2012
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Also known as:** Family Medicine Residency Center (Doing Business As)
- **Organization subpart:** Yes (part of North Mississippi Faculty Practice Plan Llc)
- **Authorized official:** Bruce Toppin, CORPORATE SECRETARY
## Practice location
- **Address:** 1665 S GREEN ST, Tupelo, MS 38804-6556
- **Phone:** (662) 377-2189 · **Fax:** (662) 377-2263
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** March 31, 2027 (Non-DME Part B, Mississippi, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 10 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (8), Clinical Social Worker (1), Pediatric Medicine (1); 5 practice at this address and 7 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 21, 2025
- **Other identifiers:** Medicaid 003684837 (MS)
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Source: [NPI Profile](https://npiprofile.com/npi/1255692356) · Data from the CMS NPPES public registry.