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TUPELO MEDICAL GROUP, LLC
NPI 1396783916
Internal Medicine in Tupelo, MS

Active since June 04, 2006
1265 CLIFF GOOKIN BOULEVARD, TUPELO, MS 38801(662) 840-2131(662) 840-2522 Get Directions Write a Review

NPPES record last updated: December 12, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Tupelo Medical Group, Llc NPPES

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

TUPELO MEDICAL GROUP, LLC (NPI 1396783916) is a healthcare organization registered as an internal medicine in Tupelo, Mississippi and active in the NPI registry since June 2006. The organization lists Julian D. Loden, Vice President, as its authorized official.

NPPES Registry Identity

NPI1396783916
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameTUPELO MEDICAL GROUP, LLC
Location Address1265 CLIFF GOOKIN BOULEVARDTupelo, MS 38801-6749
Mailing Address1265 Cliff Gookin BoulevardTupelo, MS 38801-6749 · (662) 407-2528 · Fax (662) 620-9915
Phone(662) 840-2131
Fax(662) 840-2522
Organization SubpartNo
Authorized OfficialJulian D. LodenVice President · (662) 407-2528
Enumeration DateJune 4, 2006
Last NPPES UpdateDecember 12, 2011
✔ NPI 1396783916 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1265 CLIFF GOOKIN BOULEVARD, Tupelo, MS 38801
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Other Identifiers 2

Medicare ID-Type UnspecifiedC02363MS · Group Billing #
Medicaid09015601MS

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 ›

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 Compliance 25D0945724

Tupelo Medical Group LLC · Tupelo, MS
Expired · Jul 24, 2026
CLIA Number25D0945724
Laboratory TypePhysician Office
Certificate Effective DateJuly 25, 2024
Certificate Expiration DateJuly 24, 2026
Laboratory DirectorDr. Pami J. Taylor
Laboratory Phone(662) 840-2131
Laboratory LocationTupelo Medical Group LLC1265 Cliff Gookin Boulevard, Tupelo, MS 38801
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES

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

DR. JOHN PAUL WHITE M.D.
Internal Medicine
1265 CLIFF GOOKIN BOULEVARD
TUPELO, MS 38801
Lee County (662) 840-2131

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 Tupelo Medical Group, LLC's NPI number?

The NPI number for Tupelo Medical Group, LLC is 1396783916. It was assigned to this organization in the NPPES registry on June 4, 2006.

Where is Tupelo Medical Group, LLC located?

Tupelo Medical Group, LLC is located at 1265 Cliff Gookin Boulevard, Tupelo, MS 38801. The listed phone number is (662) 840-2131.

What is Tupelo Medical Group, LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

What insurance does Tupelo Medical Group, 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 Tupelo Medical Group, 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 Tupelo Medical Group, LLC was last updated on December 12, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.