| NPI | 1093883795 |
|---|---|
| NPI Type | NPI-1 Individual |
| Status | Active |
| Enumeration Date | 2006-12-01 |
| Last Updated | 2026-04-15 |
| Mailing Address | 350 N Humphreys Blvd Memphis, TN 38120-2177 United States Phone: (901) 226-4003 | Fax: (901) 227-8531 📍 View Map |
| Primary Practice Address | 100 Hospital St Ste 200 Booneville, MS 38829-3354 United States Phone: (662) 720-3000 | Fax: (662) 720-3069 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| MEDICAID | MS | 00014401 | — |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 207R00000X – Internal Medicine | MS | 09729 |
Use our free NPI Lookup tool to find any healthcare provider in the NPPES registry. Search NPI →
About NPI 1093883795
Thomas J Putnam M. D. is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1093883795. The primary specialty listed is Internal Medicine. The provider is located in Booneville, MS. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-12-01. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1093883795?
NPI 1093883795 belongs to Thomas J Putnam M. D., a Internal Medicine in Booneville, MS. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.
Is NPI 1093883795 active?
The current status of NPI 1093883795 in the NPPES registry is Active. The record was last updated on 2026-04-15.
What specialty is NPI 1093883795?
NPI 1093883795 is classified under the taxonomy Internal Medicine. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1093883795?
You can verify NPI 1093883795 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1093883795?
The primary practice address on file for NPI 1093883795 is 100 Hospital St Ste 200, Booneville, MS 38829-3354. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1093883795 issued?
NPI 1093883795 was first issued (enumerated) on 2006-12-01. The NPPES record was last updated on 2026-04-15.
Practice Location Map
Thomas J Putnam is located at 100 Hospital St Ste 200, Booneville, MS. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Thomas J Putnam. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1093883795. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Internal Medicine | 09729 | MS |