NPIMap

Organization Active NPI

Making Moves in the Community, Incorporated

  • Family Medicine Physician
  • Shelby, MS
National Provider Identifier
1154038636
Registry record updated Nov 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
MAKING MOVES IN THE COMMUNITY, INCORPORATED
Practice address
1305 Martin Luther King
Shelby, MS 38774-2229
Phone
(662) 402-1098
NPI assigned
Nov 3, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2022

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

Authorized official

Name
Nora Cecelia Gough-Davis
Title
FNP
Phone
(662) 754-3301

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

1305 Martin Luther King
Shelby, MS 38774-2229

Mailing address

1305 Martin Luther King
Shelby, MS 38774-2229

Other names 1

  • Northside Hight School Clinic Other name

National Provider Directory

National Provider Directory
Tax ID family
Making Moves in the Community Incorporated6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1667433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667433600000",
    "number": "1154038636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1305 MARTIN LUTHER KING",
            "city": "SHELBY",
            "state": "MS",
            "postal_code": "387742229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 MARTIN LUTHER KING",
            "city": "SHELBY",
            "state": "MS",
            "postal_code": "387742229",
            "telephone_number": "662-402-1098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAKING MOVES IN THE COMMUNITY, INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-03",
        "last_updated": "2022-11-03",
        "certification_date": "2022-11-03",
        "status": "A",
        "authorized_official_last_name": "GOUGH-DAVIS",
        "authorized_official_first_name": "NORA",
        "authorized_official_middle_name": "CECELIA",
        "authorized_official_title_or_position": "FNP",
        "authorized_official_telephone_number": "662-754-3301"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northside Hight School Clinic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Shelby, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2022; 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.