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

Active since August 21, 2006
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: October 18, 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 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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ear, Nose & Throat Physicians Of North Miss., P.a. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by March 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateMississippiEnrollment IDO20040830000452Non-DME Part B · Clinic/Group PracticeDue dateMarch 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

23

Medicare enrollment records show 23 clinicians reassign Medicare billing to Ear, Nose & Throat Physicians Of North Miss., P.A., which bills Medicare for the services they deliver. Of these, 16 practice at this address and 19 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 4

Otolaryngology7
Nurse Practitioner6
Qualified Audiologist6
Physical Therapist in Private Practice4

Nearest to this location (20)

See all 23
Nurse Practitioner
NPI 1629853544
618 PEGRAM DR
Tupelo, MS 38801
(662) 844-6513
✔ PECOS✔ Accepts MedicareSame address
Otolaryngology
NPI 1679688113
618 PEGRAM DR
Tupelo, MS 38801
(662) 844-6513
✔ PECOS✔ Accepts MedicareSame address
Qualified Audiologist
NPI 1376664532
618 PEGRAM DR
Tupelo, MS 38801
(662) 844-3583
✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1528830536
618 PEGRAM DR
Tupelo, MS 38801
(662) 844-6513
✔ PECOS✔ Accepts MedicareSame address
Qualified Audiologist
NPI 1659262384
618 PEGRAM DR
Tupelo, MS 38801
(662) 844-3583
✔ Accepts MedicareSame address
Otolaryngology
NPI 1598776338
618 PEGRAM DR
Tupelo, MS 38801
(662) 844-6513
✔ PECOS✔ Accepts MedicareSame address
Qualified Audiologist
NPI 1699897280
618 PEGRAM DR
Tupelo, MS 38801
(662) 844-3583
✔ Accepts MedicareSame address
Qualified Audiologist
NPI 1487533055
618 PEGRAM DR
Tupelo, MS 38801
(662) 844-3583
✔ Accepts MedicareSame address
Otolaryngology
NPI 1821330168
618 PEGRAM DR
Tupelo, MS 38801
(662) 844-6513
✔ PECOS✔ Accepts MedicareSame address
Otolaryngology
NPI 1093344699
618 PEGRAM DR
Tupelo, MS 38801
(662) 844-7656
✔ PECOS✔ Accepts MedicareSame address
Qualified Audiologist
NPI 1184745341
618 PEGRAM DR
Tupelo, MS 38801
(662) 844-3583
✔ Accepts MedicareSame address
Otolaryngology
NPI 1548271448
618 PEGRAM DR
Tupelo, MS 38801
(662) 844-7540
✔ PECOS✔ Accepts MedicareSame address
Otolaryngology
NPI 1447494570
618 PEGRAM DR.
Tupelo, MS 38801
(662) 844-6513
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1770388878
618 PEGRAM DR
Tupelo, MS 38801
(662) 844-6513
✔ PECOS✔ Accepts MedicareSame address
Qualified Audiologist
NPI 1164637336
618 PEGRAM DR
Tupelo, MS 38801
(662) 844-3583
✔ Accepts MedicareSame address
Otolaryngology
NPI 1447261268
618 PEGRAM DR
Tupelo, MS 38801
(662) 844-6513
✔ PECOS✔ Accepts MedicareSame address
Physical Therapist in Private Practice
NPI 1790034254
4381 S EASON BLVD
Tupelo, MS 38801
(662) 816-8132
✔ Accepts Medicare0.5 mi
Physical Therapist in Private Practice
NPI 1912402264
323 N GLOSTER ST
Tupelo, MS 38804
(662) 844-6513
✔ Accepts Medicare1.3 mi
Nurse Practitioner
NPI 1811999667
3558A W MAIN ST
Tupelo, MS 38801
(662) 346-8091
✔ PECOS✔ Accepts Medicare3.1 mi
Nurse Practitioner
NPI 1619531662
11145 HIGHWAY 6 W
Thaxton, MS 38871
(662) 489-8500
✔ PECOS✔ Accepts Medicare26 mi
See all 23 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 Ear, Nose & Throat Physicians Of North Miss., P.A.'s NPI number?

The NPI number for Ear, Nose & Throat Physicians Of North Miss., P.A. is 1861507311. It was assigned to this organization in the NPPES registry on August 21, 2006.

Where is Ear, Nose & Throat Physicians Of North Miss., P.A. located?

Ear, Nose & Throat Physicians Of North Miss., P.A. is located at 618 Pegram Dr, Tupelo, MS 38801. The listed phone number is (662) 844-6513.

What is Ear, Nose & Throat Physicians Of North Miss., P.A.'s specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Ear, Nose & Throat Physicians Of North Miss., P.A. enrolled in Medicare?

Yes. Ear, Nose & Throat Physicians Of North Miss., P.A. is registered in the Medicare PECOS enrollment system.

When is Ear, Nose & Throat Physicians Of North Miss., P.A.'s Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Mississippi, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Ear, Nose & Throat Physicians Of North Miss., P.A.?

According to the CMS Revalidation Reassignment List (October 2026 release), 23 clinicians in 4 Medicare specialties reassign their Medicare billing to Ear, Nose & Throat Physicians Of North Miss., P.A.. 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 Otolaryngology (7), Nurse Practitioner (6) and Qualified Audiologist (6). Of these, 16 practice at this address and 19 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Ear, Nose & Throat Physicians Of North Miss., P.A. accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 2 other insurers list Ear, Nose & Throat Physicians Of North Miss., P.A. 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 Ear, Nose & Throat Physicians Of North Miss., P.A. was last updated on June 24, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.