CLAY COUNTY MEDICAL CORPORATION – NPI #1124649678
Urology

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

CLAY COUNTY MEDICAL CORPORATION is an urologist located in STARKVILLE, MS. NPPES has assigned the NPI number 1124649678 to CLAY COUNTY MEDICAL CORPORATION on May 06, 2020. It is a Type-2 NPI, indicating this NPI number is associated with an organization. This provider is also associated with 2 additional names listed below. The primary taxonomy selected by this provider is 208800000X from the Health Care Provider Taxonomy code set, which is classified as Urology.

The NPI profile was last updated on Jan 20, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CLAY COUNTY MEDICAL CORPORATION below.

NPI Profile for
CLAY COUNTY MEDICAL CORPORATION

NPI Number
1124649678
Enumeration Date

(more than 6 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CLAY COUNTY MEDICAL CORPORATION
Other name(s)
All associated names:

Doing Business As (dba)
North Mississippi Urology
Primary location
100 WILBURN WAY STE A
STARKVILLE, MS 39759-3692
Phone: (662) 498-1400 Fax: (662) 498-1407
Mailing address
808 VARSITY DR
TUPELO, MS 38801-4613
Phone: (662) 377-3204 Fax: (662) 377-2057
Organization Subpart
No
Authorized Official
BRUCE TOPPIN
CORPORATE SECRETARY
Phone: (662) 377-4229
Updated
Certification Date
Jan 20, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for CLAY COUNTY MEDICAL CORPORATION

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
otherMEDICAREMS355782
medicaidMS009452018
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208800000X
- Urology (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.