Organization Active NPI

Parkway Medical Group Inc

  • Internal Medicine Physician
  • Hattiesburg, MS
National Provider Identifier
1033366174
Registry record updated Aug 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
17488 Issued in MS
Legal business name
PARKWAY MEDICAL GROUP INC
Practice address
2503 Glendale Ave
Hattiesburg, MS 39401-1073
Phone
(601) 582-5805
Fax
(601) 582-5806
NPI assigned
Aug 20, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2008

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

Authorized official

Name
Dr. Akwasi A Amponsah, MDNPI 1659362457
Title
Ceo/ Medical Director
Phone
(601) 582-5805

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
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X 17488 MS Primary

Addresses

Primary practice location

2503 Glendale Ave
Hattiesburg, MS 39401-1073

Mailing address

2503 Glendale Ave
Hattiesburg, MS 39401-1073
Phone (601) 582-5805

Other identifiers 1

IdentifierTypeStateIssuer
00125127MedicaidMS

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1219190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219363200000",
    "number": "1033366174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2503 GLENDALE AVE",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394011073",
            "telephone_number": "601-582-5805",
            "fax_number": "601-582-5806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2503 GLENDALE AVE",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394011073",
            "telephone_number": "601-582-5805",
            "fax_number": "601-582-5806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARKWAY MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-20",
        "last_updated": "2008-08-22",
        "status": "A",
        "authorized_official_last_name": "AMPONSAH",
        "authorized_official_first_name": "AKWASI",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO/ MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "601-582-5805",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "MS",
            "license": "17488",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00125127",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hattiesburg, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2008; 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.