Ann Marshall

Primary specialty

Methadone ClinicTaxonomy code 261QM2800X

Legal business name

ANN MARSHALL

Practice address

2964 Terry Rd
Jackson, MS 39212-3055

Phone

(601) 624-3352

NPI assigned

May 5, 2016

Organization subpart

No

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

Authorized official

Name

Ann Marshall

Title

Administrator

Phone

(601) 624-3352

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1462406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462406400000",
    "number": "1164878419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2964 TERRY RD",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392123055",
            "telephone_number": "601-624-3352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2964 TERRY RD",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392123055",
            "telephone_number": "601-624-3352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANN MARSHALL",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-05",
        "last_updated": "2016-05-05",
        "status": "A",
        "authorized_official_last_name": "MARSHALL",
        "authorized_official_first_name": "ANN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "601-624-3352"
    },
    "taxonomies": [
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00422291",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Methadone Clinic in Jackson, MS
• Providers in Jackson, MS by specialty
• Methadone Clinic in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2016; 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.