Active NPI
Oxford Specialty Clinic
- Family Nurse Practitioner
- Oxford, MS
National Provider Identifier
1124632716
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- OXFORD SPECIALTY CLINIC
- Practice address
- 1205 Office Park Dr
Oxford, MS 38655-3545 - Phone
- (662) 638-3412
- NPI assigned
- Sep 1, 2020
- 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
- Bridgett Green, CFNP
- Title
- Owner
- Phone
- (662) 638-3412
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | Primary |
Addresses
Primary practice location
1205 Office Park Dr
Oxford, MS 38655-3545
Mailing address
PO Box 1454
Oxford, MS 38655-1454
Phone (662) 638-3412
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 07431342 | Medicaid | MS |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | www.oxfordspecialtyclinic.com |
National Provider Directory
National Provider DirectoryLocations
120 Highway 6 W
Batesville, MS 38606
Phone (662) 360-1789
1205 Office Park Dr
Oxford, MS 38655
Phone (662) 638-3412
1205 Office Park Dr
Ste A
Oxford, MS 38655
Phone (662) 533-0220
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Oxford, MS
- NPI 1972118701
-
- Clinical Social Worker
- Southaven, MS
- NPI 1093994246
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1598918400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1603929600000",
"number": "1124632716",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1454",
"city": "OXFORD",
"state": "MS",
"postal_code": "386551454",
"telephone_number": "662-638-3412"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1205 OFFICE PARK DR",
"city": "OXFORD",
"state": "MS",
"postal_code": "386553545",
"telephone_number": "662-638-3412"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OXFORD SPECIALTY CLINIC",
"organizational_subpart": "NO",
"enumeration_date": "2020-09-01",
"last_updated": "2020-10-29",
"certification_date": "2020-10-29",
"status": "A",
"authorized_official_last_name": "GREEN",
"authorized_official_first_name": "BRIDGETT",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "662-638-3412",
"authorized_official_credential": "CFNP"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "07431342",
"state": "MS"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "www.oxfordspecialtyclinic.com",
"affiliation": "N",
"address_1": "1205 Office Park Dr",
"city": "Oxford",
"state": "MS",
"country_code": "US",
"postal_code": "386553545",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Oxford, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 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.