Main Street Medical, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

MAIN STREET MEDICAL, LLC

Practice address

106 W Main St
Louisville, MS 39339-2620

Phone

(662) 803-5318

NPI assigned

Aug 15, 2013

Organization subpart

No

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

Authorized official

Name

Emily Davis Perkins

Title

Family Nurse Practitioner

Phone

(662) 803-5318

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1376524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376611200000",
    "number": "1013340892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 W MAIN ST",
            "city": "LOUISVILLE",
            "state": "MS",
            "postal_code": "393392620",
            "telephone_number": "662-803-5318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 W MAIN ST",
            "city": "LOUISVILLE",
            "state": "MS",
            "postal_code": "393392620",
            "telephone_number": "662-803-5318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAIN STREET MEDICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-15",
        "last_updated": "2013-08-16",
        "status": "A",
        "authorized_official_last_name": "PERKINS",
        "authorized_official_first_name": "EMILY",
        "authorized_official_middle_name": "DAVIS",
        "authorized_official_title_or_position": "FAMILY NURSE PRACTITIONER",
        "authorized_official_telephone_number": "662-803-5318"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Thelma M Love, MS
• Brianna Deweese Lundy, FNP
• Shemesha Kymjuana Martin
• Jonathan M McAdory
• Kymbranesha McPherson, MS
• William Russell McReynolds, DMD
• Shareka Medina, MS

• Family Medicine Physician in Louisville, MS
• Providers in Louisville, MS by specialty
• Family Medicine Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2013; 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.