Organization Active NPI

East Endocrine and Metabolism PLLC

  • Clinic/Center
  • Jackson, MS
National Provider Identifier
1093286544
Registry record updated Apr 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
EAST ENDOCRINE AND METABOLISM PLLC
Practice address
1551 E County Line Rd
Jackson, MS 39211-1801
Phone
(601) 790-1233
Fax
(601) 397-6492
NPI assigned
Dec 10, 2018
Last updated
Apr 11, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2023

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

Authorized official

Name
Honey East, MDNPI 1932132495
Title
Owner / MD
Phone
(601) 790-1233

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU Primary

Addresses

Primary practice location

1551 E County Line Rd
Jackson, MS 39211-1801

Mailing address

1551 E County Line Rd
Jackson, MS 39211-1801
Phone (601) 790-1233

Other identifiers 1

IdentifierTypeStateIssuer
00121948MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190114000274 MS Part B Supplier - Clinic/Group Practice 5890031827 Receives reassigned benefits from 3 practitioners
Practice locations: Jackson, MS

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1544400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681171200000",
    "number": "1093286544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1551 E COUNTY LINE RD",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392111801",
            "telephone_number": "601-790-1233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1551 E COUNTY LINE RD",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392111801",
            "telephone_number": "601-790-1233",
            "fax_number": "601-397-6492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST ENDOCRINE AND METABOLISM PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-10",
        "last_updated": "2023-04-11",
        "certification_date": "2023-04-11",
        "status": "A",
        "authorized_official_last_name": "EAST",
        "authorized_official_first_name": "HONEY",
        "authorized_official_title_or_position": "OWNER / MD",
        "authorized_official_telephone_number": "601-790-1233",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00121948",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.