Medical Care Associates Mobile Unit

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

16695 Issued in MS

Legal business name

MEDICAL CARE ASSOCIATES MOBILE UNIT

Practice address

3855 Azalea Dr
Jackson, MS 39206-5105

Phone

(601) 366-9447

NPI assigned

Jul 17, 2008

Last updated

Jul 17, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Nicole Younkins

Title

CPC

Phone

(601) 944-1717

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1216252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216252800000",
    "number": "1013171198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2121",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381590001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3855 AZALEA DR",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392065105",
            "telephone_number": "601-366-9447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL CARE ASSOCIATES MOBILE UNIT",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-17",
        "last_updated": "2008-07-17",
        "status": "A",
        "authorized_official_last_name": "YOUNKINS",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "CPC",
        "authorized_official_telephone_number": "601-944-1717"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MS",
            "license": "16695",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03675550",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Medical Arts Dental Group P.a.
• Medical Arts Dental North Jackson
• Medical Assurance LLC
• Medical Billing Strategies, LLC
• Medical Care Alliance LLC
• Medical Care Associates P a
• Medical Clinic of Mississippi
• Medical Foundation of Central Mississippi, Inc (Baptist Medical Clinic - Northtown)
• Medical Foundation of Central Mississippi, Inc (Baptist Medical Clinic Lakeshore-Byram)
• Medical Foundation of Central Mississippi, Inc (Baptist Cardiology Clinic - Jackson)

• Internal Medicine Physician in Jackson, MS
• Providers in Jackson, MS by specialty
• Internal Medicine Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2008; 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.