Active NPI
Community Medical Physicians, PC
- Family Medicine Physician
- Lucedale, MS
National Provider Identifier
1205208790
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- COMMUNITY MEDICAL PHYSICIANS, PC
- Practice address
- 92 Ratliff St
Lucedale, MS 39452-6537 - Phone
- (601) 947-1330
- Fax
- (601) 947-1331
- NPI assigned
- Oct 23, 2015
- Last updated
- Dec 28, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mike Huber, MD
- Title
- Medical Director
- Phone
- (601) 947-1330
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | NU | Primary | |
| Pediatrics Physician | 208000000X | NU |
Addresses
Primary practice location
92 Ratliff St
Lucedale, MS 39452-6537
Mailing address
PO Box 889
Lucedale, MS 39452-0889
Phone (601) 947-1330
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1445558400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1451260800000",
"number": "1205208790",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 889",
"city": "LUCEDALE",
"state": "MS",
"postal_code": "394520889",
"telephone_number": "601-947-1330",
"fax_number": "601-947-1331"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "92 RATLIFF ST",
"city": "LUCEDALE",
"state": "MS",
"postal_code": "394526537",
"telephone_number": "601-947-1330",
"fax_number": "601-947-1331"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COMMUNITY MEDICAL PHYSICIANS, PC",
"organizational_subpart": "NO",
"enumeration_date": "2015-10-23",
"last_updated": "2015-12-28",
"status": "A",
"authorized_official_last_name": "HUBER",
"authorized_official_first_name": "MIKE",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "601-947-1330",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lucedale, MS
- Coastal Family Health Center, Inc (Coastal Family Health Center, Inc LC Hatcher Elementary)
- Coastal Family Health Center, Inc (Coastal Family Health Center, Inc - Lucedale Clinic)
- Coastal Family Health Center, Inc (Coastal Family Health Center, Inc George County High School)
- Coastal Family Health Center, Inc (Coastal Family Health Center, Inc Rocky Creek Elementary)
- Community Medical Center
- Community Surgical Center
- Community Surgical Center Dr. David Crump
- Community Urgent Care
- David J. Conner, DDS
- Jeana E Conner, D D S
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.