Active NPI
Newsouth Neurospine, LLC.
- Neurological Surgery Physician
- Kosciusko, MS
National Provider Identifier
1144534900
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- Legal business name
- NEWSOUTH NEUROSPINE, LLC.
- Practice address
- 332 Highway 12 W
Kosciusko, MS 39090-3209 - Phone
- (877) 554-4257
- Fax
- (601) 983-2850
- NPI assigned
- Aug 3, 2010
- 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
- Mr. Frank S York III
- Title
- Ceo
- Phone
- (877) 554-4257
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | |||
| Neurological Surgery Physician | 207T00000X | Primary | ||
| Orthopaedic Surgery of the Spine Physician | 207XS0117X | |||
| Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician | 2081N0008X |
Addresses
Primary practice location
332 Highway 12 W
Kosciusko, MS 39090-3209
Mailing address
2470 Flowood Dr
Flowood, MS 39232-9019
Phone (877) 554-4257
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080527000108 | MS | Part B Supplier - Clinic/Group Practice | 2163591579 |
Receives reassigned benefits from 25 practitioners 1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Vicksburg, MS; Flowood, MS |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider DirectoryLocations
2470 Flowood Dr
Jackson, MS 39232
Phone (601) 291-1407
332 Highway 12 W
Kosciusko, MS 39090
Phone (601) 206-6100
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Medicine & Rehabilitation Physician
- Flowood, MS
- NPI 1811080518
-
- Pain Medicine Physician
- Flowood, MS
- NPI 1336257500
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1280793600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1288224000000",
"number": "1144534900",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2470 FLOWOOD DR",
"city": "FLOWOOD",
"state": "MS",
"postal_code": "392329019",
"telephone_number": "877-554-4257",
"fax_number": "601-983-2845"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "332 HIGHWAY 12 W",
"city": "KOSCIUSKO",
"state": "MS",
"postal_code": "390903209",
"telephone_number": "877-554-4257",
"fax_number": "601-983-2850"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEWSOUTH NEUROSPINE, LLC.",
"organizational_subpart": "NO",
"enumeration_date": "2010-08-03",
"last_updated": "2010-10-28",
"status": "A",
"authorized_official_last_name": "YORK",
"authorized_official_first_name": "FRANK",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "877-554-4257",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "III"
},
"taxonomies": [
{
"code": "207LP2900X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Anesthesiology, Pain Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207T00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Neurological Surgery",
"state": null,
"license": null,
"primary": true
},
{
"code": "207XS0117X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
"state": null,
"license": null,
"primary": false
},
{
"code": "2081N0008X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation, Neuromuscular Medicine",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kosciusko, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.