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

Tupelo Medical Group, LLC

Organization Internal Medicine Physician · NPI 1396783916

Tupelo Medical Group, LLC is an Internal Medicine Physician in Tupelo, Mississippi. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1265 Cliff Gookin Blvd
Tupelo, MS 38801-6749
Phone: (662) 840-2131
Fax: (662) 840-2522
Show map & directions

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

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X

Record details

NPI number1396783916
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Julian Loden — Vice President · (662) 407-2528
NPI enumeratedJune 4, 2006
Last updated in NPPESDecember 12, 2011
Mailing address1265 Cliff Gookin Boulevard, Tupelo, MS 38801-6749

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