Organization Active NPI

Coggins Family Medical Clinic Inc

  • Family Medicine Physician
  • West Point, MS
National Provider Identifier
1003978388
Registry record updated Nov 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
COGGINS FAMILY MEDICAL CLINIC INC
Practice address
411 Griffin St
West Point, MS 39773-0000
Phone
(662) 494-5863
Fax
(662) 494-5287
NPI assigned
Dec 14, 2006
Last updated
Nov 3, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2010

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

Authorized official

Name
Mrs. Kay T Coggins, FNP-BCNPI 1902904584
Title
President
Phone
(662) 494-5863

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

411 Griffin St
West Point, MS 39773-0000

Mailing address

411 Griffin St
West Point, MS 39773-0000
Phone (662) 494-5863

Other identifiers 1

IdentifierTypeStateIssuer
06521742MedicaidMS

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288742400000",
    "number": "1003978388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 GRIFFIN ST",
            "city": "WEST POINT",
            "state": "MS",
            "postal_code": "397730000",
            "telephone_number": "662-494-5863",
            "fax_number": "662-494-5287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 GRIFFIN ST",
            "city": "WEST POINT",
            "state": "MS",
            "postal_code": "397730000",
            "telephone_number": "662-494-5863",
            "fax_number": "662-494-5287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COGGINS FAMILY MEDICAL CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-14",
        "last_updated": "2010-11-03",
        "status": "A",
        "authorized_official_last_name": "COGGINS",
        "authorized_official_first_name": "KAY",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "662-494-5863",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "FNP-BC"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06521742",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Point, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2010; 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.