Medplus Starkville LLC
NPI 1336749274 · Family Medicine Physician · Starkville, MS
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Provider details
- NPI number
- 1336749274
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- John Logan, Authorized Official(626) 320-7800
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Urgent Care Clinic/Center261QU0200X
Ambulatory Health Care Facilities
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
4 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
Mailing address
Additional practice locations (3)
- 407 Interchange DriveFulton, MS 38843-6029Phone: (662) 841-0002Fax: (662) 269-6346
- 180 Park Plaza DriveNew Albany, MS 38652-3127Phone: (662) 222-2273Fax: (662) 269-6346
- 874 Barnes Crossing RoadTupelo, MS 38804-0909Phone: (662) 841-0002Fax: (662) 269-6346
Registry dates
- Enumerated
- 2020-10-29
- Last updated
- 2025-10-30
- Certified
- 2025-10-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.