Active NPI
Nellie Turner
- Custodial Care Facility
- Taylorsville, MS
National Provider Identifier
1083098438
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Custodial Care Facility
- License
- 14108
- Practice address
- 222 Mount Williams Rd
Taylorsville, MS 39168-4408 - Phone
- (601) 577-0523
- Fax
- (601) 510-9052
- NPI assigned
- Jul 15, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Custodial Care Facility | 311Z00000X | 14108 | MS | Primary |
Addresses
Primary practice location
222 Mount Williams Rd
Taylorsville, MS 39168-4408
Mailing address
222 Mount Williams Rd
Taylorsville, MS 39168-4408
Phone (601) 577-0523
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14108 | MS | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1436918400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1436918400000",
"number": "1083098438",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "222 MOUNT WILLIAMS RD",
"city": "TAYLORSVILLE",
"state": "MS",
"postal_code": "391684408",
"telephone_number": "601-577-0523",
"fax_number": "601-510-9052"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "222 MOUNT WILLIAMS RD",
"city": "TAYLORSVILLE",
"state": "MS",
"postal_code": "391684408",
"telephone_number": "601-577-0523",
"fax_number": "601-510-9052"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TURNER",
"first_name": "NELLIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-07-15",
"last_updated": "2015-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "311Z00000X",
"taxonomy_group": "",
"desc": "Custodial Care Facility",
"state": "MS",
"license": "14108",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Taylorsville, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.