NPIMap

Organization Active NPI

Ms Dept of Health

  • Women's Health Nurse Practitioner
  • Greenville, MS
National Provider Identifier
1164562468
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
R511587 Issued in MS
Legal business name
MS DEPT OF HEALTH
Practice address
1633 Hospital St
Greenville, MS 38703-3222
Phone
(662) 332-8177
Fax
(662) 378-3783
NPI assigned
Feb 7, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mark Phillips
Title
Third Party Billing
Phone
(601) 576-7566

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LW0102X R511587 MS Primary

Addresses

Primary practice location

1633 Hospital St
Greenville, MS 38703-3222

Mailing address

1633 Hospital St
Greenville, MS 38703-3222
Phone (662) 332-8177

National Provider Directory

National Provider Directory
Tax ID family
Ms State Dept Clinical Lab126 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1164562468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1633 HOSPITAL ST",
            "city": "GREENVILLE",
            "state": "MS",
            "postal_code": "387033222",
            "telephone_number": "662-332-8177",
            "fax_number": "662-378-3783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1633 HOSPITAL ST",
            "city": "GREENVILLE",
            "state": "MS",
            "postal_code": "387033222",
            "telephone_number": "662-332-8177",
            "fax_number": "662-378-3783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MS DEPT OF HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "THIRD PARTY BILLING",
        "authorized_official_telephone_number": "601-576-7566"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "MS",
            "license": "R511587",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, 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.

Verify at the official NPI Registry.