Tupelo Medical Group, LLC
NPI 1396783916 · Internal Medicine Physician · Tupelo, MS
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Tupelo Medical Group, LLC is a Internal Medicine Physician organization in Tupelo, MS (NPI 1396783916).
Provider details
- NPI number
- 1396783916
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Julian Loden, Vice President(662) 407-2528
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
Registry dates
- Enumerated
- 2006-06-04
- Last updated
- 2011-12-12
Frequently asked questions
- What is Tupelo Medical Group, LLC's NPI number?
- Tupelo Medical Group, LLC's National Provider Identifier (NPI) is 1396783916, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Tupelo Medical Group, LLC?
- Tupelo Medical Group, LLC is classified in the NPPES registry as Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Tupelo Medical Group, LLC located?
- Tupelo Medical Group, LLC's practice location on file with NPPES is 1265 Cliff Gookin Boulevard, Tupelo, MS 38801-6749.
- What is Tupelo Medical Group, LLC's phone number?
- The practice phone number listed in the NPPES registry for Tupelo Medical Group, LLC is (662) 840-2131.
- Does Tupelo Medical Group, LLC accept Medicare?
- Tupelo Medical Group, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Tupelo Medical Group, LLC?
- The authorized official listed on Tupelo Medical Group, LLC's NPPES record is Julian Loden, Vice President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Tupelo Medical Group, LLC's NPI active?
- Yes — Tupelo Medical Group, LLC's NPI (1396783916) is active in the NPPES registry as of the last update on 2011-12-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.