Organization Active NPI

Telemedicine Services of Mississippi

  • Case Management Agency
  • Jackson, MS
National Provider Identifier
1114471570
Registry record updated Sep 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
License
895073 Issued in MS
Legal business name
TELEMEDICINE SERVICES OF MISSISSIPPI
Practice address
2355B River Oaks Blvd
Jackson, MS 39211-3015
Phone
(601) 543-2022
NPI assigned
Aug 15, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2016

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

Authorized official

Name
Mr. Robert Whitley
Title
Chief Financial Officer
Phone
(601) 543-2022

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X 895073 MS Primary
Health Service Clinic/Center 261QH0100X 895073 MS
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X 895073 MS

Addresses

Primary practice location

2355B River Oaks Blvd
Jackson, MS 39211-3015

Mailing address

2355B River Oaks Blvd
Jackson, MS 39211-3015
Phone (601) 543-2022

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1471219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473033600000",
    "number": "1114471570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2355B RIVER OAKS BLVD",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392113015",
            "telephone_number": "601-543-2022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2355B RIVER OAKS BLVD",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392113015",
            "telephone_number": "601-543-2022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TELEMEDICINE SERVICES OF MISSISSIPPI",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-15",
        "last_updated": "2016-09-05",
        "status": "A",
        "authorized_official_last_name": "WHITLEY",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "601-543-2022",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "MS",
            "license": "895073",
            "primary": true
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "MS",
            "license": "895073",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "895073",
            "primary": false
        }
    ],
    "identifiers": [],
    "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 Sep 5, 2016; 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.