Northside Medical Clinic
NPI 1811721442 · Clinic/Center · Starkville, MS
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Northside Medical Clinic is a Clinic/Center organization in Starkville, MS (NPI 1811721442).
Provider details
- NPI number
- 1811721442
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Klancie Smith, Family Nurse Practitioner/Owner(662) 617-4894
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr 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
- 2024-08-27
- Last updated
- 2024-08-27
- Certified
- 2024-08-27
Frequently asked questions
- What is Northside Medical Clinic's NPI number?
- Northside Medical Clinic's National Provider Identifier (NPI) is 1811721442, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Northside Medical Clinic?
- Northside Medical Clinic is classified in the NPPES registry as Clinic/Center (Ambulatory Health Care Facilities).
- Where is Northside Medical Clinic located?
- Northside Medical Clinic's practice location on file with NPPES is 1014a N Jackson St, Starkville, MS 39759-2211.
- What is Northside Medical Clinic's phone number?
- The practice phone number listed in the NPPES registry for Northside Medical Clinic is (662) 617-4894.
- Does Northside Medical Clinic accept Medicare?
- Northside Medical Clinic 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 Northside Medical Clinic?
- The authorized official listed on Northside Medical Clinic's NPPES record is Klancie Smith, Family Nurse Practitioner/Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Northside Medical Clinic's NPI active?
- Yes — Northside Medical Clinic's NPI (1811721442) is active in the NPPES registry as of the last update on 2024-08-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.