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

Kimberly Jordan Tupper

Individual provider Physician Assistant · NPI 1437785482

Kimberly Jordan Tupper is a Physician Assistant in Southaven, Mississippi. Qualified in 2020, 6 years ago. Practices with Family Medical Clinic of North MS Inc, a 13-clinician group and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
6
Licensed in
MS
In the registry since
2020

Practice location Address checks out

391 Southcrest Cir Ste 200
Southaven, MS 38671-6729
Phone: (901) 271-1000
Fax: (901) 922-6718
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA00741 (MS)

Record details

NPI number1437785482
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 20, 2020
Last updated in NPPESJanuary 21, 2026
Certification dateJanuary 21, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Family Medical Clinic Of North Ms Inc — 13 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Southaven