Individual provider Active NPI

Louis J Owens, M.D.

  • Family Medicine Physician
  • Woodville, MS
National Provider Identifier
1174563746
Registry record updated Jan 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
05822 Issued in MS
Practice address
451 Bank St
Woodville, MS 39669-6000
Phone
(601) 888-3421
NPI assigned
Jun 8, 2006
Last updated
Jan 19, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 05822 MS Primary
Family Medicine Physician 207Q00000X 11998R LA

Addresses

Primary practice location

451 Bank St
Woodville, MS 39669-6000

Mailing address

PO Box 639
Centreville, MS 39631-0639
Phone (601) 645-5221

Other identifiers 2

IdentifierTypeStateIssuer
1106453MedicaidLA
0115501MedicaidMS

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

LicenseStateTypeSpecialty
11998RLAMDFamily Medicine Physician
05822MSMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Field Memorial Community Hospital Past Accepting new patients
Field Memorial Community Hospital Past Accepting new patients
Field Memorial Community Hospital Family Medicine Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263859200000",
    "number": "1174563746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 639",
            "city": "CENTREVILLE",
            "state": "MS",
            "postal_code": "396310639",
            "telephone_number": "601-645-5221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "451 BANK ST",
            "city": "WOODVILLE",
            "state": "MS",
            "postal_code": "396696000",
            "telephone_number": "601-888-3421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OWENS",
        "first_name": "LOUIS",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-08",
        "last_updated": "2010-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MS",
            "license": "05822",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "11998R",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1106453",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0115501",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodville, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 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.

Verify at the official NPI Registry.