Organization · Type 2 NPI

North Mississippi Faculty Practice Plan LLC

Family Medicine Physician · Tupelo, MS

NPI number 1255692356 Active

Practice location

1665 S Green St
Tupelo, MS 38804-6556

Call (662) 377-2189 Map

Fax (662) 377-2263

Mailing address

808 Varsity Dr
Tupelo, MS 38801-4613

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician Primary	207Q00000X	None listed

Family Medicine Physician: 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.

54 other providers at this address

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NPI record

NPI: 1255692356
Entity type: Organization (Type 2)
Issued: Jun 5, 2012
Last updated: Jan 21, 2025
Status: Active
Subpart: Yes of North Mississippi Faculty Practice Plan LLC

Other names

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Family Medicine Residency Center · doing business as
Family Medicine Residency Center · doing business as

Authorized official

Bruce Toppin
Corporate Secretary
(662) 377-4229

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1255692356

North Mississippi Faculty Practice Plan LLC's National Provider Identifier is 1255692356, issued on Jun 5, 2012. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Tupelo, MS. The record was last updated on Jan 21, 2025.