DESOTO THYROID AND ENDOCRINOLOGY
NPI 1710134945
Specialist in Southaven, MS

Active since August 19, 2008
5960 GETWELL RD, SUITE 212-D, SOUTHAVEN, MS 38672(662) 895-6455 Get Directions Write a Review

NPPES record last updated: August 19, 2008. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Desoto Thyroid And Endocrinology NPPES

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

DESOTO THYROID AND ENDOCRINOLOGY (NPI 1710134945) is a healthcare organization registered as a specialist in Southaven, Mississippi and active in the NPI registry since August 2008. The organization lists Amanda R Cunningham, Physician, as its authorized official.

NPPES Registry Identity

NPI1710134945
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameDESOTO THYROID AND ENDOCRINOLOGY
Location Address5960 GETWELL RD, SUITE 212-DSouthaven, MS 38672-7318
Mailing Address5960 Getwell Rd, Suite 212-dSouthaven, MS 38672-7318 · (662) 895-6455
Organization SubpartNo
Authorized OfficialAmanda R CunninghamPhysician · (662) 895-6455
Enumeration DateAugust 19, 2008
✔ NPI 1710134945 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in MS · 20121
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
5960 GETWELL RD, Southaven, MS 38672

Other Identifiers 1

Medicare UPIN31031B

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Desoto Thyroid And Endocrinology is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Desoto Thyroid And Endocrinology, which bills Medicare for the services this clinician delivers.

Clinician (1)

Endocrinology
NPI 1760663579
MEDICAL CENTER BLVD ENDOCRINOLOGY
Winston Salem, NC 27157
(336) 713-7251
✔ PECOS✔ Accepts Medicare550 mi

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 Desoto Thyroid And Endocrinology's NPI number?

The NPI number for Desoto Thyroid And Endocrinology is 1710134945. It was assigned to this organization in the NPPES registry on August 19, 2008.

Where is Desoto Thyroid And Endocrinology located?

Desoto Thyroid And Endocrinology is located at 5960 Getwell Rd Suite 212-D, Southaven, MS 38672. The listed phone number is (662) 895-6455.

What is Desoto Thyroid And Endocrinology's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Desoto Thyroid And Endocrinology enrolled in Medicare?

Yes. Desoto Thyroid And Endocrinology is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Desoto Thyroid And Endocrinology?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Endocrinology) reassigns their Medicare billing to Desoto Thyroid And Endocrinology. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Desoto Thyroid And Endocrinology was last updated on August 19, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.