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EAST MAIN FAMILY MEDICAL CLINIC LLC
NPI 1285072058
Nurse Practitioner in Tupelo, MS

Active since June 13, 2013
1424 E MAIN ST, TUPELO, MS 38804(662) 842-4877 Get Directions Write a Review

NPPES record last updated: September 8, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About East Main Family Medical Clinic Llc NPPES

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

EAST MAIN FAMILY MEDICAL CLINIC LLC (NPI 1285072058) is a healthcare organization registered as a nurse practitioner in Tupelo, Mississippi and active in the NPI registry since June 2013. The organization maintains a secondary practice location in Tupelo and lists Rodney Rodgers, Owner/nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1285072058
Entity TypeOrganization
Primary Taxonomy363L00000X
Legal Business NameEAST MAIN FAMILY MEDICAL CLINIC LLC
Location Address1424 E MAIN STTupelo, MS 38804-2956
Mailing Address1424 E Main StTupelo, MS 38804-2956 · (662) 350-3550
Phone(662) 842-4877
Organization SubpartNo
Authorized OfficialRodney RodgersOwner/nurse Practitioner · (662) 350-3550
Enumeration DateJune 13, 2013
Last NPPES UpdateSeptember 8, 2020
NPPES CertifiedSeptember 8, 2020
✔ NPI 1285072058 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
1424 E MAIN ST, Tupelo, MS 38804
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Secondary Practice Location 1

Location 15024 Raymond AveTupelo, MS 38801-8671 · Phone (662) 432-0782

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.Insurance ›

Other Providers at the Same Location NPPES 8

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

EAST MAIN FAMILY MEDICAL CLINIC LLC
Nurse Practitioner
1424 E MAIN ST
TUPELO, MS 38804
Lee County (662) 350-3550
SONYA MARIE TOWNSEND FNP
Nurse Practitioner (Family)
1424 E MAIN ST
TUPELO, MS 38804
Lee County (662) 350-3550
MRS. MELISSA RICHARDSON NOLAN NP-C
Nurse Practitioner (Family)
1424 E MAIN ST
TUPELO, MS 38804
Lee County (662) 350-3550
SABRINA S VANCE
Nurse Practitioner (Family)
1424 E MAIN ST
TUPELO, MS 38804
Lee County (662) 350-3550
ERIN ELIZABETH WARD FNP-C
Nurse Practitioner (Family)
1424 E MAIN ST
TUPELO, MS 38804
Lee County (662) 350-3550
MRS. KRISTEN MARIE LODEN FNP-C
Nurse Practitioner (Family)
1424 E MAIN ST
TUPELO, MS 38804
Lee County (662) 350-3550
BOA VIDA HOSPITAL OF ABERDEEN, MS LLC
Clinic/Center (Rural Health)
1424 E MAIN ST
TUPELO, MS 38804
Lee County (662) 350-3550
MR. RODNEY RODGERS F.N.P.
Nurse Practitioner
1424 E MAIN ST
TUPELO, MS 38804
Lee County (662) 350-3550

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 Main Family Medical Clinic LLC's NPI number?

The NPI number for East Main Family Medical Clinic LLC is 1285072058. It was assigned to this organization in the NPPES registry on June 13, 2013.

Where is East Main Family Medical Clinic LLC located?

East Main Family Medical Clinic LLC is located at 1424 E Main St, Tupelo, MS 38804. The listed phone number is (662) 842-4877.

What is East Main Family Medical Clinic LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

What insurance does East Main Family Medical Clinic LLC accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee and 1 other insurer list East Main Family Medical Clinic 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 East Main Family Medical Clinic LLC was last updated on September 8, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.