Organization Active NPI

Mississippi Medical Arts LLC

  • Family Medicine Physician
  • Philadelphia, MS
National Provider Identifier
1043053119
Registry record updated Jun 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
MISSISSIPPI MEDICAL ARTS LLC
Practice address
517 Center Ave N
Philadelphia, MS 39350-2552
Phone
(601) 656-5815
Fax
(601) 656-8510
NPI assigned
Jun 17, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2024

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

Authorized official

Name
Sunny Soriano-Palacio
Title
Owner
Phone
(601) 656-5815

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

517 Center Ave N
Philadelphia, MS 39350-2552

Mailing address

517 Center Ave N
Philadelphia, MS 39350-2552
Phone (601) 656-5815

National Provider Directory

National Provider Directory

Locations

517 Center Ave N
Philadelphia, MS 39350
Phone (601) 656-1440

NPI Registry JSON

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

{
    "created_epoch": "1718582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718582400000",
    "number": "1043053119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "517 CENTER AVE N",
            "city": "PHILADELPHIA",
            "state": "MS",
            "postal_code": "393502552",
            "telephone_number": "601-656-5815",
            "fax_number": "601-656-8510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "517 CENTER AVE N",
            "city": "PHILADELPHIA",
            "state": "MS",
            "postal_code": "393502552",
            "telephone_number": "601-656-5815",
            "fax_number": "601-656-8510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSISSIPPI MEDICAL ARTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-17",
        "last_updated": "2024-06-17",
        "certification_date": "2024-06-17",
        "status": "A",
        "authorized_official_last_name": "SORIANO-PALACIO",
        "authorized_official_first_name": "SUNNY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-656-5815"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2024; 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.