Organization Active NPI

Corinth Family Care Center PC

  • Family Medicine Physician
  • Corinth, MS
National Provider Identifier
1124041132
Registry record updated Nov 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
CORINTH FAMILY CARE CENTER PC
Practice address
2000 E Shiloh Rd
Corinth, MS 38834-3724
Phone
(662) 287-6999
Fax
(662) 287-1709
NPI assigned
Jul 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2014

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

Authorized official

Name
Timothy L Noyes, M.D.
Title
Co-Owner Physician
Phone
(662) 287-6999

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

2000 E Shiloh Rd
Corinth, MS 38834-3724

Mailing address

2000 E Shiloh Rd
Corinth, MS 38834-3724
Phone (662) 287-6999

Other identifiers 1

IdentifierTypeStateIssuer
05838308MedicaidMS

National Provider Directory

National Provider Directory

Locations

3114B E Shiloh Rd
Corinth, MS 38834
Phone (601) 287-6999

2000 E Shiloh Rd
Corinth, MS 38834
Phone (662) 287-6999

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415577600000",
    "number": "1124041132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 E SHILOH RD",
            "city": "CORINTH",
            "state": "MS",
            "postal_code": "388343724",
            "telephone_number": "662-287-6999",
            "fax_number": "662-287-1709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 E SHILOH RD",
            "city": "CORINTH",
            "state": "MS",
            "postal_code": "388343724",
            "telephone_number": "662-287-6999",
            "fax_number": "662-287-1709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORINTH FAMILY CARE CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-25",
        "last_updated": "2014-11-10",
        "status": "A",
        "authorized_official_last_name": "NOYES",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CO-OWNER PHYSICIAN",
        "authorized_official_telephone_number": "662-287-6999",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05838308",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Corinth, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2014; 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.