Organization Active NPI

Ppxtec, LLC

  • Supports Brokerage Agency
  • Jackson, MS
National Provider Identifier
1184244394
Registry record updated Apr 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Supports Brokerage AgencyTaxonomy code 251X00000X
Legal business name
PPXTEC, LLC
Practice address
1524 Lakeside Dr
Jackson, MS 39216-4807
Phone
(504) 353-6063
Fax
(601) 487-8581
NPI assigned
Apr 17, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2020

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

Authorized official

Name
Debra L Griffin
Title
Founder
Phone
(504) 353-6063

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Supports Brokerage Agency 251X00000X Primary

Addresses

Primary practice location

1524 Lakeside Dr
Jackson, MS 39216-4807

Mailing address

1524 Lakeside Dr
Jackson, MS 39216-4807
Phone (504) 353-6063

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1587081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587081600000",
    "number": "1184244394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1524 LAKESIDE DR",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392164807",
            "telephone_number": "504-353-6063",
            "fax_number": "601-487-8581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1524 LAKESIDE DR",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392164807",
            "telephone_number": "504-353-6063",
            "fax_number": "601-487-8581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PPXTEC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-17",
        "last_updated": "2020-04-17",
        "certification_date": "2020-04-17",
        "status": "A",
        "authorized_official_last_name": "GRIFFIN",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "504-353-6063"
    },
    "taxonomies": [
        {
            "code": "251X00000X",
            "taxonomy_group": "",
            "desc": "Supports Brokerage",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 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.