Active NPI
Rheumatology Associates of Greenville PC
- Primary Care Clinic/Center
- Greenville, MS
National Provider Identifier
1164654471
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- License
- 19663
- Legal business name
- RHEUMATOLOGY ASSOCIATES OF GREENVILLE PC
- Practice address
- 1502 S Colorado St
Greenville, MS 38703-7219 - Phone
- (662) 332-8848
- Fax
- (662) 332-8854
- NPI assigned
- Aug 20, 2009
- Last updated
- Mar 5, 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
- Dr. Shabana C Karim, M.D.
- Title
- Owner
- Phone
- (662) 332-8848
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | 19663 | MS | Primary |
Addresses
Primary practice location
1502 S Colorado St
Greenville, MS 38703-7219
Mailing address
PO Box 4577
Greenville, MS 38704-4577
Phone (662) 332-8848
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02273838 | Medicaid | MS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Specialist
- Greenville, MS
- NPI 1992903355
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1250726400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1267747200000",
"number": "1164654471",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4577",
"city": "GREENVILLE",
"state": "MS",
"postal_code": "387044577",
"telephone_number": "662-332-8848",
"fax_number": "662-332-8854"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1502 S COLORADO ST",
"city": "GREENVILLE",
"state": "MS",
"postal_code": "387037219",
"telephone_number": "662-332-8848",
"fax_number": "662-332-8854"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RHEUMATOLOGY ASSOCIATES OF GREENVILLE PC",
"organizational_subpart": "NO",
"enumeration_date": "2009-08-20",
"last_updated": "2010-03-05",
"status": "A",
"authorized_official_last_name": "KARIM",
"authorized_official_first_name": "SHABANA",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "662-332-8848",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": "MS",
"license": "19663",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02273838",
"state": "MS"
}
],
"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 Mar 5, 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.