Organization Active NPI

Fitvisits LLC

  • Internal Medicine Physician
  • Ridgeland, MS
National Provider Identifier
1023675048
Registry record updated May 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
FITVISITS LLC
Practice address
731 S Pear Orchard Rd Ste 16
Ridgeland, MS 39157-4800
Phone
(662) 213-6555
NPI assigned
May 24, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2019

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

Authorized official

Name
Marshall Briscoe, MD
Title
Founder
Phone
(404) 941-0240

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

731 S Pear Orchard Rd Ste 16
Ridgeland, MS 39157-4800

Mailing address

204 Devereaux CT
Madison, MS 39110-9351
Phone (662) 213-6555

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1558656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1558656000000",
    "number": "1023675048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 DEVEREAUX CT",
            "city": "MADISON",
            "state": "MS",
            "postal_code": "391109351",
            "telephone_number": "662-213-6555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "731 S PEAR ORCHARD RD STE 16",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391574800",
            "telephone_number": "662-213-6555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FITVISITS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-24",
        "last_updated": "2019-05-24",
        "status": "A",
        "authorized_official_last_name": "BRISCOE",
        "authorized_official_first_name": "MARSHALL",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "404-941-0240",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgeland, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2019; 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.