West Point Internal Medicine Clinic, PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

28771 Issued in MS

Legal business name

WEST POINT INTERNAL MEDICINE CLINIC, PA

Practice address

830 Medical Center Dr
West Point, MS 39773-9319

Phone

(662) 377-4685

NPI assigned

Aug 21, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Edmund Anderson Miller Jr., M.D.

Title

Owner

Phone

(662) 377-4685

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• Janice Hill, CFNP, CACNP

  • Nurse Practitioner
  • Denton, TX
  • NPI 1255371589
  NPD (past)

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

{
    "created_epoch": "1250812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303084800000",
    "number": "1235361304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "830 MEDICAL CENTER DR",
            "city": "WEST POINT",
            "state": "MS",
            "postal_code": "397739319",
            "telephone_number": "662-377-4685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 MEDICAL CENTER DR",
            "city": "WEST POINT",
            "state": "MS",
            "postal_code": "397739319",
            "telephone_number": "662-377-4685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST POINT INTERNAL MEDICINE CLINIC, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-21",
        "last_updated": "2011-04-18",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "EDMUND",
        "authorized_official_middle_name": "ANDERSON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "662-377-4685",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MS",
            "license": "28771",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00115012",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Waverly Care Home, LLC
• Julette Weaver Reese, MS
• Monique Renee Weeks, LMSW
• West Point Chiropractic Clinic Inc.
• West Point Family Dental PLLC
• West Point Medical Center Pharmacy, Inc
• West Point OBGYN PA
• Carrie White, LPC
• Pamela H. White, FNP
• Nadia Whitfield

• Internal Medicine Physician in West Point, MS
• Providers in West Point, MS by specialty
• Internal Medicine Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2011; 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.