Active NPI
Coggins Family Medical Clinic Inc
- Family Medicine Physician
- West Point, MS
National Provider Identifier
1003978388
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- 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, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Kay T Coggins, FNP-BC
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 06521742 | Medicaid | MS |
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Nurse Practitioner
- West Point, MS
- NPI 1902904584
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.