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

Pontotoc Health Providers

Organization Family Medicine Physician · NPI 1033589163

Pontotoc Health Providers is a Family Medicine Physician in Tupelo, Mississippi. Registered with an NPI since 2015.

In the registry since
2015
Specialties on file
3

Practice location Address checks out

808 Varsity Dr
Tupelo, MS 38801-4613
Phone: (662) 377-2386
Fax: (662) 377-2057
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Internal Medicine Physician Taxonomy 207R00000X
Family Nurse Practitioner Taxonomy 363LF0000X

Record details

NPI number1033589163
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Bruce Toppin — Corporate Secretary · (662) 377-4229
NPI enumeratedOctober 1, 2015
Last updated in NPPESJanuary 20, 2025
Certification dateJanuary 20, 2025
Mailing address176 S Main St, Pontotoc, MS 38863-3311

Other providers in Tupelo