Organization Active NPI

Advance Medical House Calls

Doing business as Advance Medical House Calls & Family Clinic

  • Family Medicine Physician
  • Ridgeland, MS
National Provider Identifier
1104318286
Registry record updated Aug 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
ADVANCE MEDICAL HOUSE CALLS
Doing business as
Advance Medical House Calls & Family Clinic
Practice address
299 Highway 51 Ste F1
Ridgeland, MS 39157-3424
Phone
(601) 397-4079
Fax
(601) 398-2149
NPI assigned
Jun 4, 2018
Last updated
Aug 17, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2018

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

Authorized official

Name
Tye Rollins
Title
Manager
Phone
(601) 397-4079

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

299 Highway 51 Ste F1
Ridgeland, MS 39157-3424

Mailing address

PO Box 1404
Ridgeland, MS 39158-1404
Phone (601) 397-4079

Other names 1

  • Advance Medical House Calls & Family Clinic Doing business as

National Provider Directory

National Provider Directory

Locations

299 Highway 51
Ste F1
Ridgeland, MS 39157
Phone (601) 397-4079

NPI Registry JSON

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

{
    "created_epoch": "1528070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534464000000",
    "number": "1104318286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1404",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391581404",
            "telephone_number": "601-397-4079",
            "fax_number": "601-398-2149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "299 HIGHWAY 51 STE F1",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391573424",
            "telephone_number": "601-397-4079",
            "fax_number": "601-398-2149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCE MEDICAL HOUSE CALLS",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-04",
        "last_updated": "2018-08-17",
        "status": "A",
        "authorized_official_last_name": "ROLLINS",
        "authorized_official_first_name": "TYE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "601-397-4079"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advance Medical House Calls & Family Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ridgeland, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2018; 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.