Organization Active NPI

Baptist Memorial Health Services, Inc. of Mississippi

  • Internal Medicine Physician
  • Columbus, MS
National Provider Identifier
1093950339
Registry record updated Jul 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
BAPTIST MEMORIAL HEALTH SERVICES, INC. OF MISSISSIPPI
Practice address
515 Willowbrook Rd
Suite 1
Columbus, MS 39705-2016
Phone
(662) 244-2960
Fax
(662) 244-2964
NPI assigned
Dec 15, 2008
Last updated
Jul 16, 2010By the provider in NPPES
Organization subpart
Yes
Parent organization
BAPTIST MEMORIAL HEALTH SERVICES, INC. OF MISSISSIPPIAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 16, 2010

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

Authorized official

Name
Donald R Pounds
Title
Cfo Senior Vice President
Phone
(901) 227-7463

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary
Pediatrics Physician 208000000X NU

Addresses

Primary practice location

515 Willowbrook Rd
Suite 1
Columbus, MS 39705-2016

Mailing address

350 N Humphreys Blvd
Memphis, TN 38120-2177
Phone (901) 227-7463

Other identifiers 1

IdentifierTypeStateIssuer
07655811MedicaidMS

National Provider Directory

National Provider Directory
Part of
BMHS Inc of Ms

Locations

515 Willowbrook Rd
Ste 1
Columbus, MS 39705
Phone (662) 244-2960

NPI Registry JSON

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

{
    "created_epoch": "1229299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279238400000",
    "number": "1093950339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 N HUMPHREYS BLVD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381202177",
            "telephone_number": "901-227-7463",
            "fax_number": "901-227-5699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 WILLOWBROOK RD",
            "address_2": "SUITE 1",
            "city": "COLUMBUS",
            "state": "MS",
            "postal_code": "397052016",
            "telephone_number": "662-244-2960",
            "fax_number": "662-244-2964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAPTIST MEMORIAL HEALTH SERVICES, INC. OF MISSISSIPPI",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BAPTIST MEMORIAL HEALTH SERVICES, INC. OF MISSISSIPPI",
        "enumeration_date": "2008-12-15",
        "last_updated": "2010-07-16",
        "status": "A",
        "authorized_official_last_name": "POUNDS",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CFO SENIOR VICE PRESIDENT",
        "authorized_official_telephone_number": "901-227-7463"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07655811",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2010; 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.