Organization Active NPI

Progressive Medical Management of Batesville LLC

Doing business as Panola Medical Swingbed

  • Medicare Defined Swing Bed Hospital Unit
  • Batesville, MS
National Provider Identifier
1073119749
Registry record updated Jan 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X
Legal business name
PROGRESSIVE MEDICAL MANAGEMENT OF BATESVILLE LLC
Doing business as
Panola Medical Swingbed
Practice address
303 Medical Center Dr
Batesville, MS 38606-8608
Phone
(662) 563-5611
Fax
(662) 563-0155
NPI assigned
Dec 8, 2020
Last updated
Jan 21, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
PROGRESSIVE MEDICAL MANAGEMENT OF BATESVILLE LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 21, 2021

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

Authorized official

Name
Robert Quentin Whitwell
Title
Ceo
Phone
(662) 701-9346

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X NU Primary

Addresses

Primary practice location

303 Medical Center Dr
Batesville, MS 38606-8608

Mailing address

303 Medical Center Dr
Batesville, MS 38606-8608
Phone (662) 563-5611

Other names 1

  • Panola Medical Swingbed Doing business as

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address ewilliams@panolamed.com
Direct Messaging Address ewilliams@panolamed.com
CONNECT URL Batesville

National Provider Directory

National Provider Directory
Tax ID family
Progressive Medical Management of Batesville LLC3 organizations share this tax ID, including this one
Part of
Progressive Medical Management of Batesville LLC

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1607385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611187200000",
    "number": "1073119749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 MEDICAL CENTER DR",
            "city": "BATESVILLE",
            "state": "MS",
            "postal_code": "386068608",
            "telephone_number": "662-563-5611",
            "fax_number": "662-563-0155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 MEDICAL CENTER DR",
            "city": "BATESVILLE",
            "state": "MS",
            "postal_code": "386068608",
            "telephone_number": "662-563-5611",
            "fax_number": "662-563-0155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROGRESSIVE MEDICAL MANAGEMENT OF BATESVILLE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PROGRESSIVE MEDICAL MANAGEMENT OF BATESVILLE LLC",
        "enumeration_date": "2020-12-08",
        "last_updated": "2021-01-21",
        "certification_date": "2021-01-21",
        "status": "A",
        "authorized_official_last_name": "WHITWELL",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "QUENTIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "662-701-9346"
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ewilliams@panolamed.com",
            "affiliation": "N",
            "address_1": "303 Medical Center Dr",
            "city": "Batesville",
            "state": "MS",
            "country_code": "US",
            "postal_code": "386068608",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ewilliams@panolamed.com",
            "affiliation": "N",
            "address_1": "303 Medical Center Dr",
            "city": "Batesville",
            "state": "MS",
            "country_code": "US",
            "postal_code": "386068608",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Batesville",
            "affiliation": "N",
            "address_1": "303 Medical Center Dr",
            "city": "Batesville",
            "state": "MS",
            "country_code": "US",
            "postal_code": "386068608",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Panola Medical Swingbed",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Panola Medical Swingbed",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Batesville, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2021; 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.