Active NPI
Medical Arts Pediatric Clinic
- Pediatrics Physician
- Meridian, MS
National Provider Identifier
1124119862
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- Legal business name
- MEDICAL ARTS PEDIATRIC CLINIC
- Practice address
- 2024 15TH St
5TH Floor North
Meridian, MS 39301-4130 - Phone
- (601) 693-2777
- Fax
- (601) 482-8219
- NPI assigned
- Sep 27, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. William B Simmons, M.D.
- Title
- Partner
- Phone
- (601) 693-2777
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | Primary |
Addresses
Primary practice location
2024 15TH St
5TH Floor North
Meridian, MS 39301-4130
Mailing address
2024 15TH St
5TH Floor North
Meridian, MS 39301-4130
Phone (601) 693-2777
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 09012505 | Medicaid | MS |
National Provider Directory
National Provider DirectoryLocations
2024 15th St
Fl 5
Meridian, MS 39301
Phone (601) 553-6399
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159315200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1124119862",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2024 15TH ST",
"address_2": "5TH FLOOR NORTH",
"city": "MERIDIAN",
"state": "MS",
"postal_code": "393014130",
"telephone_number": "601-693-2777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2024 15TH ST",
"address_2": "5TH FLOOR NORTH",
"city": "MERIDIAN",
"state": "MS",
"postal_code": "393014130",
"telephone_number": "601-693-2777",
"fax_number": "601-482-8219"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEDICAL ARTS PEDIATRIC CLINIC",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-27",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "SIMMONS",
"authorized_official_first_name": "WILLIAM",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "PARTNER",
"authorized_official_telephone_number": "601-693-2777",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "09012505",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Meridian, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.