Active NPI
John C Neill, M.D.
- Neurological Surgery Physician
- Flowood, MS
National Provider Identifier
1154355642
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- License
- 08399
- Practice address
- 2470 Flowood Drive
Flowood, MS 39232 - Phone
- (877) 554-4257
- Fax
- (601) 983-2845
- NPI assigned
- Jul 10, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | 08399 | MS | Primary |
Addresses
Primary practice location
2470 Flowood Drive
Flowood, MS 39232
Mailing address
2470 Flowood Drive
Flowood, MS 39232
Phone (877) 554-4257
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 08399 | MS | MD | Neurological Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1281312000000",
"number": "1154355642",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2470 FLOWOOD DRIVE",
"city": "FLOWOOD",
"state": "MS",
"postal_code": "39232",
"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": "2470 FLOWOOD DRIVE",
"city": "FLOWOOD",
"state": "MS",
"postal_code": "39232",
"telephone_number": "877-554-4257",
"fax_number": "601-983-2845"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEILL",
"first_name": "JOHN",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-10",
"last_updated": "2010-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "MS",
"license": "08399",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Flowood, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.