NPIMap

Organization Active NPI

Florence Family Medicine, PLLC

  • Family Medicine Physician
  • Florence, MS
National Provider Identifier
1053667972
Registry record updated Dec 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
FLORENCE FAMILY MEDICINE, PLLC
Practice address
3091 Highway 49 S
Suite B
Florence, MS 39073-9452
Phone
(601) 891-8134
Fax
(601) 891-8364
NPI assigned
Jul 29, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2012

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

Authorized official

Name
Robert V. Coleman, MD
Title
Physician/Owner
Phone
(601) 891-8134

Specialties & licenses 1

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

Addresses

Primary practice location

3091 Highway 49 S
Suite B
Florence, MS 39073-9452

Mailing address

3091 Highway 49 S
Suite B
Florence, MS 39073-9452
Phone (601) 891-8134

National Provider Directory

National Provider Directory

Locations

3091 Highway 49 S
Ste B
Florence, MS 39073
Phone (601) 421-5186

NPI Registry JSON

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

{
    "created_epoch": "1343520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355875200000",
    "number": "1053667972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3091 HIGHWAY 49 S",
            "address_2": "SUITE B",
            "city": "FLORENCE",
            "state": "MS",
            "postal_code": "390739452",
            "telephone_number": "601-891-8134",
            "fax_number": "601-891-8364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3091 HIGHWAY 49 S",
            "address_2": "SUITE B",
            "city": "FLORENCE",
            "state": "MS",
            "postal_code": "390739452",
            "telephone_number": "601-891-8134",
            "fax_number": "601-891-8364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORENCE FAMILY MEDICINE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-29",
        "last_updated": "2012-12-19",
        "status": "A",
        "authorized_official_last_name": "COLEMAN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "V.",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "601-891-8134",
        "authorized_official_credential": "MD"
    },
    "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 Florence, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2012; 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.