Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Midsouth Medicine

Organization Internal Medicine Physician · NPI 1194894147

Midsouth Medicine is an Internal Medicine Physician in Southaven, Mississippi. Licensed in Mississippi. Registered with an NPI since 2006.

Licensed in
MS
In the registry since
2006

Practice location Address checks out

2149 Stateline Rd W
Southaven, MS 38671-1222
Phone: (662) 342-1112
Fax: (662) 342-1116
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 18647 (MS)

Record details

NPI number1194894147
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ciao Newman — President · (662) 342-1112
NPI enumeratedNovember 6, 2006
Last updated in NPPESApril 12, 2023
Certification dateApril 12, 2023
Mailing address2149 Stateline Rd W, Southaven, MS 38671-1222

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