Mississippi Foot Clinic, Inc

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

80062 Issued in MS

Legal business name

MISSISSIPPI FOOT CLINIC, INC

Practice address

128 Poindexter St
Jackson, MS 39203-3048

Phone

(601) 355-0026

Fax

(601) 355-0069

NPI assigned

Jun 23, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Willie James Lewis Sr., D.P.M.

Title

Owner/President

Phone

(601) 355-0026

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stanitia W. Davis, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Jackson, MS
  • NPI 1942463567
  NPD (past)
• Stefanie Monique Thomas, DPM

  • Podiatrist
  • Clinton, MS
  • NPI 1497864698
  NPD (past)

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

{
    "created_epoch": "1214179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214179200000",
    "number": "1184885147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10529",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392890529",
            "telephone_number": "601-355-0026",
            "fax_number": "601-355-0069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 POINDEXTER ST",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392033048",
            "telephone_number": "601-355-0026",
            "fax_number": "601-355-0069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSISSIPPI FOOT CLINIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-23",
        "last_updated": "2008-06-23",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "WILLIE",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "601-355-0026",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MS",
            "license": "80062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mississippi Emergency Physician Services, LLC
• Mississippi Eye Care Associates of Jackson, PLLC
• Mississippi Eyecare Associates of Jackson, PLLC.
• Mississippi Families for Kids
• Mississippi Foot and Surgical Center, LLC
• Mississippi Health Services, LLC
• Mississippi Hearing Center, Inc
• Mississippi Hma Hospitalists, LLC
• Mississippi Hma Hospitalists, LLC
• Mississippi Homecare of Jackson II, LLC

• Foot & Ankle Surgery Podiatrist in Jackson, MS
• Providers in Jackson, MS by specialty
• Foot & Ankle Surgery Podiatrist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2008; 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.