OrganizationActive
Ageless Men'S Health, LLC
NPI 1841639648 · Specialist · Tupelo, MS
Provider details
- NPI number
- 1841639648
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Amanda Wilkinson, Business Operations Director(702) 818-0446
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(77/100 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
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
1022 Common Wealth Blvd
Tupelo, MS 38801
Phone: (901) 757-3643
Fax: (901) 757-7762
Street-level locationGet directions
Mailing address
3085 Fountainside Dr
Germantown, TN 38138-7842
Other names (DBA / former)
- Doing business as
- Ageless Men'S Health
- Doing business as
- Ageless Men'S Health
Registry dates
- Enumerated
- 2013-06-14
- Last updated
- 2024-11-11
- Certified
- 2024-11-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.