McComb Neurology, PA

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

11664 Issued in MS

Legal business name

MCCOMB NEUROLOGY, PA

Practice address

118 N Broadway
2ND Floor
McComb, MS 39648-3914

Phone

(601) 249-2491

Fax

(601) 249-2885

NPI assigned

Jun 12, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Joseph William Farina Jr., M.D.

Title

Owner

Phone

(601) 246-2491

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Dorothy D Gillespie, FNP

  • Family Nurse Practitioner
  • Hattiesburg, MS
  • NPI 1164567996
  NPD (past)

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

{
    "created_epoch": "1181606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1073717302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 N BROADWAY",
            "address_2": "2ND FLOOR",
            "city": "MCCOMB",
            "state": "MS",
            "postal_code": "396483914",
            "telephone_number": "601-249-2491",
            "fax_number": "601-249-2885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 N BROADWAY",
            "address_2": "2ND FLOOR",
            "city": "MCCOMB",
            "state": "MS",
            "postal_code": "396483914",
            "telephone_number": "601-249-2491",
            "fax_number": "601-249-2885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCCOMB NEUROLOGY, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FARINA",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-246-2491",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MS",
            "license": "11664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Marshall McClung Jr., MD
• McComb Anesthesia Associates, LLP
• McComb Children'S Clinic, LTD
• McComb Emergency Group LLC
• McComb Healthcare LLC
• McComb Og-GYN Associated
• McComb Public School District
• McComb Public School District
• McComb Public School District
• McComb Public School District

• Neurology Physician in McComb, MS
• Providers in McComb, MS by specialty
• Neurology Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.