NPIMap

Organization Active NPI

Mississippi State Department of Health

  • Public Health or Welfare Agency
  • Southaven, MS
National Provider Identifier
1003226903
Registry record updated Jun 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
MISSISSIPPI STATE DEPARTMENT OF HEALTH
Practice address
8705 Northwest Dr
Building a, Suite 1
Southaven, MS 38671-2430
Phone
(662) 393-2775
Fax
(662) 393-2819
NPI assigned
Apr 30, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Daniel P Edney, MD, FACP
Title
State Health Officer
Phone
(601) 576-7634

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X Primary

Addresses

Primary practice location

8705 Northwest Dr
Building a, Suite 1
Southaven, MS 38671-2430

Mailing address

570 E Woodrow Wilson Ave
Jackson, MS 39216-4538
Phone (601) 576-7635

Other names 1

  • Southaven Health Department Other name

National Provider Directory

National Provider Directory
Tax ID family
Mississippi State Department of Health126 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 12

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

Interoperability endpoints

  • FHIR API: https://soapproxy.umc.edu/FHIRProxy/MSDH/api/FHIR/R4

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1398816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656374400000",
    "number": "1003226903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "570 E WOODROW WILSON AVE",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392164538",
            "telephone_number": "601-576-7635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8705 NORTHWEST DR",
            "address_2": "BUILDING A, SUITE 1",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386712430",
            "telephone_number": "662-393-2775",
            "fax_number": "662-393-2819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSISSIPPI STATE DEPARTMENT OF HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-30",
        "last_updated": "2022-06-28",
        "certification_date": "2022-06-28",
        "status": "A",
        "authorized_official_last_name": "EDNEY",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "STATE HEALTH OFFICER",
        "authorized_official_telephone_number": "601-576-7634",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, FACP"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southaven Health Department",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Southaven Health Department",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Southaven, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.