Dr Charles L Nause PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

11262 Issued in MS

Legal business name

DR CHARLES L NAUSE PA

Practice address

110 E Market St
Greenwood, MS 38930-4430

Phone

(662) 453-5460

Fax

(662) 453-5551

NPI assigned

Jun 5, 2008

Last updated

Jun 5, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Charles L Nause Jr., D.O.NPI 1154316008

Title

President

Phone

(662) 453-5460

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Charles Lamar Nause Jr., DO

  • Family Medicine Physician
  • Greenwood, MS
  • NPI 1154316008
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1212624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212624000000",
    "number": "1235398009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 E MARKET ST",
            "city": "GREENWOOD",
            "state": "MS",
            "postal_code": "389304430",
            "telephone_number": "662-453-5460",
            "fax_number": "662-453-5551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 E MARKET ST",
            "city": "GREENWOOD",
            "state": "MS",
            "postal_code": "389304430",
            "telephone_number": "662-453-5460",
            "fax_number": "662-453-5551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR CHARLES L NAUSE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-05",
        "last_updated": "2008-06-05",
        "status": "A",
        "authorized_official_last_name": "NAUSE",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "662-453-5460",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MS",
            "license": "11262",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00016402",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Greenwood, MS
• Providers in Greenwood, MS by specialty
• Family Medicine Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.