Organization Active NPI

PKC Plus

  • Pediatrics Physician
  • Meridian, MS
National Provider Identifier
1093553794
Registry record updated Jul 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
PKC PLUS
Practice address
1109 61St CT
Meridian, MS 39305-1230
Phone
(601) 685-1555
NPI assigned
Jul 17, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2024

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

Authorized official

Name
Dr. Rachel Hull, MD
Title
Owner
Phone
(601) 685-1555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

1109 61St CT
Meridian, MS 39305-1230

Mailing address

1109 61St CT
Meridian, MS 39305-1230
Phone (601) 685-1555

Other practice location 1

2433 23rd Ave
Meridian, MS 39301-2156
Phone (601) 553-8660

National Provider Directory

National Provider Directory

Locations

2433 23rd Ave
Meridian, MS 39301
Phone (601) 553-8660

NPI Registry JSON

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

{
    "created_epoch": "1721174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721174400000",
    "number": "1093553794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1109 61ST CT",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393051230",
            "telephone_number": "601-685-1555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1109 61ST CT",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393051230",
            "telephone_number": "601-685-1555"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2433 23rd Ave",
            "address_purpose": "LOCATION",
            "city": "Meridian",
            "state": "MS",
            "postal_code": "393012156",
            "country_code": "US",
            "telephone_number": "601-553-8660",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PKC PLUS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-17",
        "last_updated": "2024-07-17",
        "certification_date": "2024-07-17",
        "status": "A",
        "authorized_official_last_name": "HULL",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-685-1555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Meridian, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2024; 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.