Eterna Primary Care of Mississippi LLC
NPI 1598675472ActiveOrganization· General Practice· Tupelo, MS
General Practice in Tupelo, Mississippi, registered in NPPES in September 2026, part of Eterna Primary Care LLC. The authorized official on file is Penny Logan, MSN, MBA, APRN, Chief Operating Officer.
Overview
| NPI | 1598675472 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Eterna Primary Care LLC |
| NPI issued | Sep 11, 2026 |
| Last updated in NPPES | Sep 11, 2026 |
| Certified by provider | Sep 11, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Primary | 208D00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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