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FAMILY MEDICINE RESIDENCY CENTER
NPI 1285745885
Family Medicine in Tupelo, MS

Active since August 31, 2006
1665 S GREEN ST, TUPELO, MS 38804(662) 377-2189(662) 377-2263 Get Directions Write a Review

NPPES record last updated: July 11, 2007. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Family Medicine Residency Center NPPES

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

FAMILY MEDICINE RESIDENCY CENTER (NPI 1285745885) is a healthcare organization registered as a family medicine in Tupelo, Mississippi and active in the NPI registry since August 2006. The organization lists Gerald Wages, Coo, as its authorized official.

NPPES Registry Identity

NPI1285745885
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameNORTH MISSISSIPPI MEDICAL CENTER
Location Address1665 S GREEN STTupelo, MS 38804-6556
Mailing Address450 E President AveTupelo, MS 38801-5599 · (662) 377-4685 · Fax (662) 377-2755
Phone(662) 377-2189
Fax(662) 377-2263
Organization SubpartNo
Authorized OfficialGerald WagesCoo · (662) 377-3000
Enumeration DateAugust 31, 2006
Last NPPES UpdateJuly 11, 2007
✔ NPI 1285745885 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1665 S GREEN ST, Tupelo, MS 38804
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Other Names 1

Doing Business AsFamily Medicine Residency Center

Other Identifiers 2

Medicaid09014041MS
Medicare PINC02066MS

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Family Medicine Residency Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

576

Medicare enrollment records show 576 clinicians reassign Medicare billing to Family Medicine Residency Center, which bills Medicare for the services they deliver. Of these, 287 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 39

Nurse Practitioner191
Certified Registered Nurse Anesthetist (CRNA)86
Hospitalist48
Neurology42
Internal Medicine37
Diagnostic Radiology22
Pediatric Medicine22
Physical Medicine and Rehabilitation11
31 other specialties117

Nearest to this location (20)

See all 576
Carrie Loftiss, MD
Hospitalist
NPI 1598954125
1167 S GREEN ST
Tupelo, MS 38804
(662) 322-7064
✔ PECOS✔ Accepts Medicare0.1 mi
Justin Campbell, NP
Nurse Practitioner
NPI 1619574738
860 S MADISON ST
Tupelo, MS 38801
(662) 377-7150
✔ PECOS✔ Accepts Medicare0.1 mi
William Edmonson, MD
Pulmonary Disease
NPI 1528031077
860 SOUTH MADISON 4TH FLOOR EAST TOWER
Tupelo, MS 38801
(662) 377-7150
✔ PECOS✔ Accepts Medicare0.1 mi
Paul Roberts, MD
Radiation Oncology
NPI 1902392939
990 S MADISON ST STE 1
Tupelo, MS 38801
(662) 377-4077
✔ PECOS✔ Accepts Medicare0.2 mi
Haya Alghazo, MD
Internal Medicine
NPI 1295467314
845 S MADISON ST
Tupelo, MS 38801
(662) 377-1100
✔ PECOS✔ Accepts Medicare0.2 mi
Pat Cummings, LCSW
Clinical Social Worker
NPI 1073777850
845 S MADISON ST
Tupelo, MS 38801
(662) 377-1155
✔ PECOS✔ Accepts Medicare0.2 mi
Charles King, M.D.
Rheumatology
NPI 1538137989
845 S MADISON ST
Tupelo, MS 38801
(662) 377-5930
✔ PECOS✔ Accepts Medicare0.2 mi
Samuel Newell, M.D.
Neurology
NPI 1962495192
845 S MADISON ST
Tupelo, MS 38801
(662) 377-3008
✔ PECOS✔ Accepts Medicare0.2 mi
Malinda Prewitt, MD
Infectious Disease
NPI 1710941315
845 S MADISON ST
Tupelo, MS 38801
(662) 377-5930
✔ PECOS✔ Accepts Medicare0.2 mi
Brian Condit, MD
Physical Medicine and Rehabilitation
NPI 1174570881
609 BRUNSON DR
Tupelo, MS 38801
(662) 377-1370
✔ PECOS✔ Accepts Medicare0.2 mi
Cheri Harbour, MS,OTR/L, SCLV
Occupational Therapist in Private Practice
NPI 1619133485
606 BRUNSON DR
Tupelo, MS 38801
(662) 377-3340
✔ Accepts Medicare0.3 mi
Ashley Pickering, MD
Ophthalmology
NPI 1144727298
610 BRUNSON DR
Tupelo, MS 38801
(662) 844-7211
✔ PECOS✔ Accepts Medicare0.3 mi
Nicholas Barron, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1205161080
589 GARFIELD ST
Tupelo, MS 38801
(662) 377-4394
✔ PECOS0.3 mi
Raaj Ghosal, DO
Family Practice
NPI 1366066698
4381 S EASON BLVD STE 101
Tupelo, MS 38801
(662) 377-6609
✔ PECOS✔ Accepts Medicare0.4 mi
Carl Bevering, MD
Neurosurgery
NPI 1215909171
4381 S EASON BLVD STE 602
Tupelo, MS 38801
(662) 377-5700
✔ PECOS✔ Accepts Medicare0.4 mi
Charles Pigott, MD
General Surgery
NPI 1487625703
4381 S EASON BLVD SUITE 202
Tupelo, MS 38801
(662) 377-6470
✔ PECOS✔ Accepts Medicare0.4 mi
Vernon Barrow, M.D.
Diagnostic Radiology
NPI 1548202385
620 CROSSOVER ROAD
Tupelo, MS 38801
(662) 620-7102
✔ PECOS✔ Accepts Medicare0.4 mi
Jennifer Grisham, M.D.
Pediatric Medicine
NPI 1952406589
1573 MEDICAL PARK CIR
Tupelo, MS 38801
(662) 844-9885
✔ PECOS0.4 mi
Robert Derveloy, M.D.
Thoracic Surgery
NPI 1689674707
830 S GLOSTER ST NMMC EAST TOWER 4TH FLOOR
Tupelo, MS 38801
(662) 377-7170
✔ PECOS0.5 mi
Julia Lucius, RD
Registered Dietitian or Nutrition Professional
NPI 1033377767
830 S GLOSTER ST
Tupelo, MS 38801
(662) 377-2500
✔ Accepts Medicare0.5 mi
See all 576 clinicians

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 Medical Center's NPI number?

The NPI number for North Mississippi Medical Center is 1285745885. It was assigned to this organization in the NPPES registry on August 31, 2006. The provider is doing business as Family Medicine Residency Center.

Where is North Mississippi Medical Center located?

North Mississippi Medical Center is located at 1665 S Green St, Tupelo, MS 38804. The listed phone number is (662) 377-2189.

What is North Mississippi Medical Center's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is North Mississippi Medical Center enrolled in Medicare?

Yes. North Mississippi Medical Center is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through North Mississippi Medical Center?

According to the CMS Revalidation Reassignment List (October 2026 release), 576 clinicians in 39 Medicare specialties reassign their Medicare billing to North Mississippi Medical Center. 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 Nurse Practitioner (191), Certified Registered Nurse Anesthetist (CRNA) (86) and Hospitalist (48). Of these, 287 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for North Mississippi Medical Center was last updated on July 11, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.