Northside Medical Clinic
NPI 1811721442ActiveOrganization· Clinic/Center· Starkville, MS
Clinic/Center in Starkville, Mississippi, registered in NPPES in August 2024. The authorized official on file is Klancie Allison Smith, FNP-BC, Family Nurse Practitioner/Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1811721442 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 27, 2024 |
| Last updated in NPPES | Aug 27, 2024 |
| Certified by provider | Aug 27, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Clinic/Center Primary | 261Q00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (MS) |
|---|
Other Clinic/Center providers in Starkville
- 1366190555
- 1194414342
- 1710065222
- 1871083402
- 1376165027
- 1639283740
- 1558275008