Durant Primary Care Clinic

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

DURANT PRIMARY CARE CLINIC

Practice address

638 Northwest Ave
Durant, MS 39063-3337

Phone

(662) 653-1002

Fax

(662) 653-1038

NPI assigned

Oct 20, 2006

Last updated

Sep 29, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Elias Abboud, M.D.

Title

Owner

Phone

(662) 653-1002

Specialties & licenses 1

Addresses

Other identifiers 2

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Durant Primary Care Clinic

  dba Lexington Medical Clinic

  • Clinic/Center
  • Lexington, MS
  • NPI 1942536552
  NPPES parent name

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254182400000",
    "number": "1124100813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "638 NORTHWEST AVE",
            "city": "DURANT",
            "state": "MS",
            "postal_code": "390633337",
            "telephone_number": "662-653-1002",
            "fax_number": "662-653-1038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "638 NORTHWEST AVE",
            "city": "DURANT",
            "state": "MS",
            "postal_code": "390633337",
            "telephone_number": "662-653-1002",
            "fax_number": "662-653-1038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DURANT PRIMARY CARE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-20",
        "last_updated": "2009-09-29",
        "status": "A",
        "authorized_official_last_name": "ABBOUD",
        "authorized_official_first_name": "ELIAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "662-653-1002",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01824892",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09807861",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bell Dental Durant LLC
• Bell Pharmacy
• Wiley Clark Branch
• BSW Inc (Howell and Heggie Drug Company)
• Durant Healthcare LLC (Holmes County Long Term Care)
• Durant Public School District
• James Myers Ferguson
• Beverly Forrest-Butts
• Ronnie Gladney
• Glover Primary Care Clinic

• Primary Care Clinic/Center in Durant, MS
• Providers in Durant, MS by specialty
• Primary Care Clinic/Center in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2009; 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.