PMB Family Medical, LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

PMB FAMILY MEDICAL, LLC

Doing business as

American Family Care

Practice address

710 Highland Colony Pkwy Ste a-1
Ridgeland, MS 39157-8701

Phone

(601) 398-9886

NPI assigned

Jan 20, 2023

Organization subpart

No

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

Authorized official

Name

Daniel Hurley McFatter, OWNER

Title

Manager

Phone

(601) 750-6693

Specialties & licenses 1

Addresses

Other names 1

• American Family Care Doing business as

Locations

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

{
    "created_epoch": "1674172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674172800000",
    "number": "1013622315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 HIGHLAND COLONY PKWY STE A-1",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391578701",
            "telephone_number": "601-398-9886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 HIGHLAND COLONY PKWY STE A-1",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391578701",
            "telephone_number": "601-398-9886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PMB FAMILY MEDICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-20",
        "last_updated": "2023-01-20",
        "certification_date": "2023-01-20",
        "status": "A",
        "authorized_official_last_name": "MCFATTER",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "HURLEY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "601-750-6693",
        "authorized_official_credential": "OWNER"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "American Family Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Melissa Rae Pierce, LPC
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• Jamesa Poindexter, APRN
• Brook Leann Ponder, NP
• Wendi A Pool, OT/L
• Josh Poole, RPH
• Haley Porter, BCBA

• Primary Care Clinic/Center in Ridgeland, MS
• Providers in Ridgeland, MS by specialty
• Primary Care Clinic/Center in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2023; 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.