M3 Medical Services LLC

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Legal business name

M3 MEDICAL SERVICES LLC

Practice address

768 Fox Rd SE
Bogue Chitto, MS 39629-3009

Phone

(601) 757-6192

NPI assigned

Mar 24, 2021

Last updated

Mar 24, 2021By 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

Robin Haido

Title

Credentialing Manager

Phone

(601) 944-1717

Specialties & licenses 1

Addresses

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.

• Bradley Martin, PA-C

  • Surgical Physician Assistant
  • Brookhaven, MS
  • NPI 1841249489
  NPD

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

{
    "created_epoch": "1616544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616544000000",
    "number": "1013594498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "768 FOX RD SE",
            "city": "BOGUE CHITTO",
            "state": "MS",
            "postal_code": "396293009",
            "telephone_number": "601-757-6192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "768 FOX RD SE",
            "city": "BOGUE CHITTO",
            "state": "MS",
            "postal_code": "396293009",
            "telephone_number": "601-757-6192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M3 MEDICAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-24",
        "last_updated": "2021-03-24",
        "certification_date": "2021-03-24",
        "status": "A",
        "authorized_official_last_name": "HAIDO",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "601-944-1717"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Annette Edwards
• Family Health Care Clinic, Inc.
• Jeffrey Gatlin
• Sarah Guthrie
• Sarabeth Hall, FNP
• Mississippi Behavioral Health Treatment Institute Incorporated Inc (Mississippi Behavioral Health Treatment Institute)
• Khari Abayomi Omolara, M.D.
• Rachel Kennedy Powell
• Andrea Quin
• Beverly N Ray, CCC-SLP

• Physician Assistant in Bogue Chitto, MS
• Providers in Bogue Chitto, MS by specialty
• Physician Assistant in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2021; 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.