Organization Active NPI

Chosen 2 Care Medical Center Inc

  • Nurse Practitioner
  • Columbus, MS
National Provider Identifier
1013410273
Registry record updated Mar 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
WARR-P4LBGN Issued in MS
Legal business name
CHOSEN 2 CARE MEDICAL CENTER INC
Practice address
2104 5TH St N Ste 6
Columbus, MS 39705-2236
Phone
(205) 542-9226
NPI assigned
Mar 14, 2018
Last updated
Mar 14, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2018

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

Authorized official

Name
Tiffany Warren, MLP-NPNPI 1932551520
Title
Owner
Phone
(205) 542-9226

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X WARR-P4LBGN MS Primary

Addresses

Primary practice location

2104 5TH St N Ste 6
Columbus, MS 39705-2236

Mailing address

2104 5TH St N Ste 6
Columbus, MS 39705-2236
Phone (205) 542-9226

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180402000345 MS Part B Supplier - Clinic/Group Practice 6800158908 Receives reassigned benefits from 1 practitioner
Practice locations: Columbus, MS

National Provider Directory

National Provider Directory

Locations

2104 5th St N
Ste 6
Columbus, MS 39705
Phone (205) 542-9226

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/17711/brand/1/csg/1/fhir/r4

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": "1520985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520985600000",
    "number": "1013410273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2104 5TH ST N STE 6",
            "city": "COLUMBUS",
            "state": "MS",
            "postal_code": "397052236",
            "telephone_number": "205-542-9226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2104 5TH ST N STE 6",
            "city": "COLUMBUS",
            "state": "MS",
            "postal_code": "397052236",
            "telephone_number": "205-542-9226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHOSEN 2 CARE MEDICAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-14",
        "last_updated": "2018-03-14",
        "status": "A",
        "authorized_official_last_name": "WARREN",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "205-542-9226",
        "authorized_official_credential": "MLP-NP"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": "MS",
            "license": "WARR-P4LBGN",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.