NPIMap

Organization Active NPI

Center of Infectious Disease Excellence

  • Infectious Disease Physician
  • Jackson, MS
National Provider Identifier
1235329020
Registry record updated Jul 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
Legal business name
CENTER OF INFECTIOUS DISEASE EXCELLENCE
Practice address
1040 River Oaks Dr
Suite 303
Jackson, MS 39232-9530
Phone
(601) 936-0706
Fax
(601) 936-6150
NPI assigned
Jul 27, 2007
Last updated
Jul 27, 2007By the provider in NPPES
Organization subpart
Yes
Parent organization
RIVER OAKS MANAGEMENT COMPANY, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 27, 2007

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

Authorized official

Name
Brad Sinclair
Title
Regional Manager
Phone
(601) 936-3102

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X NU Primary

Addresses

Primary practice location

1040 River Oaks Dr
Suite 303
Jackson, MS 39232-9530

Mailing address

1040 River Oaks Dr
Suite 303
Jackson, MS 39232-9530
Phone (601) 936-0706

National Provider Directory

National Provider Directory
Tax ID family
Care Plus Family Medicine - Highland Colony40 organizations share this tax ID, including this one
Part of
Care Plus Family Medicine - Highland Colony

Other organizations with this tax ID 39

Organizations that report the same tax identification number in the National Provider Directory.

View all 39

NPI Registry JSON

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

{
    "created_epoch": "1185494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185494400000",
    "number": "1235329020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1040 RIVER OAKS DR",
            "address_2": "SUITE 303",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392329530",
            "telephone_number": "601-936-0706",
            "fax_number": "601-936-6150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 RIVER OAKS DR",
            "address_2": "SUITE 303",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392329530",
            "telephone_number": "601-936-0706",
            "fax_number": "601-936-6150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER OF INFECTIOUS DISEASE EXCELLENCE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RIVER OAKS MANAGEMENT COMPANY, INC.",
        "enumeration_date": "2007-07-27",
        "last_updated": "2007-07-27",
        "status": "A",
        "authorized_official_last_name": "SINCLAIR",
        "authorized_official_first_name": "BRAD",
        "authorized_official_title_or_position": "REGIONAL MANAGER",
        "authorized_official_telephone_number": "601-936-3102"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "NU",
            "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 Jul 27, 2007; 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.