EAR, NOSE & THROAT PHYSICIANS OF NORTH MISS., P.A.
NPI 1861507311
Otolaryngology in Tupelo, MS

Active since August 21, 2006CLIA 25D1015703 · Waiver
618 PEGRAM DR, TUPELO, MS 38801(662) 844-6513(662) 844-1113 Get Directions Write a Review

NPPES record last updated: June 24, 2010. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Ear, Nose & Throat Physicians Of North Miss., P.a. NPPES

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

EAR, NOSE & THROAT PHYSICIANS OF NORTH MISS., P.A. (NPI 1861507311) is a healthcare organization registered as an otolaryngology in Tupelo, Mississippi and active in the NPI registry since August 2006. The organization holds a CLIA Waiver certificate valid through November 17, 2026 and lists James Montgomery Berry, President, as its authorized official.

NPPES Registry Identity

NPI1861507311
Entity TypeOrganization
Primary Taxonomy207Y00000X
Legal Business NameEAR, NOSE & THROAT PHYSICIANS OF NORTH MISS., P.A.
Location Address618 PEGRAM DRTupelo, MS 38801-6322
Mailing AddressPo Box 2180Tupelo, MS 38803-2180 · (662) 844-6513 · Fax (662) 844-1113
Fax(662) 844-1113
Organization SubpartNo
Authorized OfficialJames Montgomery BerryPresident · (662) 844-6513
Enumeration DateAugust 21, 2006
Last NPPES UpdateJune 24, 2010
NPI 1861507311 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
Definition

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.

618 PEGRAM DR, Tupelo, MS 38801

Other Identifiers 3

OtherCE6078MS · Medicare Railroad
Medicaid09011431MS
Medicare ID-Type UnspecifiedC00456MS

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

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
25D1015703
Facility Type
Physician Office
Certificate Effective Date
November 18, 2024
Certificate Expiration Date
November 17, 2026
Laboratory Director
DR. RYAN SIMMONS
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Ear, Nose & Throat Physicians Of North Miss., P.a. to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for EAR, NOSE & THROAT PHYSICIANS OF NORTH MISS., P.A.

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Other Providers at the Same Location


The following 18 providers are registered at the same or a nearby location.

Otolaryngology
618 PEGRAM DR
TUPELO, MS 38801
Otolaryngology (Otology & Neurotology)
618 PEGRAM DR
TUPELO, MS 38801
Otolaryngology
618 PEGRAM DR
TUPELO, MS 38801
Otolaryngology
618 PEGRAM DR
TUPELO, MS 38801
Audiologist
618 PEGRAM DR
TUPELO, MS 38801
Audiologist-Hearing Aid Fitter
618 PEGRAM DR
TUPELO, MS 38801
Audiologist-Hearing Aid Fitter
618 PEGRAM DR
TUPELO, MS 38801
Audiologist-Hearing Aid Fitter
618 PEGRAM DR
TUPELO, MS 38801
Audiologist
618 PEGRAM DR
TUPELO, MS 38801
Otolaryngology
618 PEGRAM DR
TUPELO, MS 38801
Audiologist
618 PEGRAM DR
TUPELO, MS 38801
Audiologist-Hearing Aid Fitter
618 PEGRAM DR
TUPELO, MS 38801
Nurse Practitioner
618 PEGRAM DR
TUPELO, MS 38801
Nurse Practitioner
618 PEGRAM DR
TUPELO, MS 38801
Nurse Practitioner (Family)
618 PEGRAM DR
TUPELO, MS 38801
Otolaryngology
618 PEGRAM DR
TUPELO, MS 38801
Audiologist
618 PEGRAM DR
TUPELO, MS 38801
Audiologist
618 PEGRAM DR
TUPELO, MS 38801

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1861507311, enumerated as an "organization" on August 21, 2006.

The provider is located at 618 PEGRAM DR TUPELO, MS 38801 and the phone number is (662) 844-6513.

Otolaryngology with taxonomy code 207Y00000X.

The provider might be accepting Accepts: Ambetter from Arkansas Health & Wellness, Ambetter. Please consult your insurance carrier or call the provider to verify.