NPIMap

Organization Active NPI

Piece of Mind Medical LLC

  • Health Maintenance Organization
  • Flowood, MS
National Provider Identifier
1194177170
Registry record updated Aug 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
16623 Issued in MS
Legal business name
PIECE OF MIND MEDICAL LLC
Practice address
1000 Lakeland Square Ext
Suite 800
Flowood, MS 39232-7620
Phone
(601) 326-7632
Fax
(601) 326-7635
NPI assigned
Jul 1, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2016

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

Authorized official

Name
Mark O Rester, M.D,
Title
Owner
Phone
(601) 326-7632

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X 16623 MS Primary

Addresses

Primary practice location

1000 Lakeland Square Ext
Suite 800
Flowood, MS 39232-7620

Mailing address

1000 Lakeland Square Ext
Suite 800
Flowood, MS 39232-7620
Phone (601) 326-7632

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1467331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470182400000",
    "number": "1194177170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 LAKELAND SQUARE EXT",
            "address_2": "SUITE 800",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392327620",
            "telephone_number": "601-326-7632",
            "fax_number": "601-326-7635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 LAKELAND SQUARE EXT",
            "address_2": "SUITE 800",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392327620",
            "telephone_number": "601-326-7632",
            "fax_number": "601-326-7635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIECE OF MIND MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-01",
        "last_updated": "2016-08-03",
        "status": "A",
        "authorized_official_last_name": "RESTER",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-326-7632",
        "authorized_official_credential": "M.D,"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "MS",
            "license": "16623",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flowood, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 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.