NPIMap

Organization Active NPI

Family Medicine Clinic

  • Family Medicine Physician
  • Amory, MS
National Provider Identifier
1164645479
Registry record updated Jun 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
FAMILY MEDICINE CLINIC
Practice address
404 Gilmore Dr
Amory, MS 38821-5414
Phone
(662) 256-3564
Fax
(662) 256-3996
NPI assigned
Apr 11, 2007
Last updated
Jun 10, 2009By the provider in NPPES
Organization subpart
Yes
Parent organization
HEALTH MANAGMENT ASSOCIATESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 10, 2009

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

Authorized official

Name
Kathy Linley
Title
Admin Assist
Phone
(662) 256-7112

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

404 Gilmore Dr
Amory, MS 38821-5414

Mailing address

404 Gilmore Dr
Amory, MS 38821-3416
Phone (662) 256-3564

National Provider Directory

National Provider Directory
Tax ID family
Nettleton Family Clinic17 organizations share this tax ID, including this one
Part of
Nettleton Family Clinic

Other organizations with this tax ID 16

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

View all 16

Locations

404 Gilmore Dr
Amory, MS 38821
Phone (662) 256-3564

NPI Registry JSON

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1244592000000",
    "number": "1164645479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 GILMORE DR",
            "city": "AMORY",
            "state": "MS",
            "postal_code": "388213416",
            "telephone_number": "662-256-3564",
            "fax_number": "662-256-3996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 GILMORE DR",
            "city": "AMORY",
            "state": "MS",
            "postal_code": "388215414",
            "telephone_number": "662-256-3564",
            "fax_number": "662-256-3996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY MEDICINE CLINIC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HEALTH MANAGMENT ASSOCIATES",
        "enumeration_date": "2007-04-11",
        "last_updated": "2009-06-10",
        "status": "A",
        "authorized_official_last_name": "LINLEY",
        "authorized_official_first_name": "KATHY",
        "authorized_official_title_or_position": "ADMIN ASSIST",
        "authorized_official_telephone_number": "662-256-7112"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amory, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2009; 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.