OrganizationActive
East Main Family Medical Clinic LLC
NPI 1285072058 · Nurse Practitioner · Tupelo, MS
Provider details
- NPI number
- 1285072058
- Entity type
- Organization
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Rodney Rodgers, Owner/Nurse Practitioner(662) 350-3550
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Detailed profile(82/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1424 E Main St
Tupelo, MS 38804-2956
Phone: (662) 842-4877
Street-level locationGet directions
Mailing address
1424 E Main St
Tupelo, MS 38804-2956
Additional practice locations (1)
- 5024 Raymond AveTupelo, MS 38801-8671Phone: (662) 432-0782
Registry dates
- Enumerated
- 2013-06-13
- Last updated
- 2020-09-08
- Certified
- 2020-09-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.