Organization Active NPI

Meet at the Well LLC

  • Public Health or Welfare Agency
  • Canton, MS
National Provider Identifier
1235952045
Registry record updated Nov 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
MEET AT THE WELL LLC
Practice address
217 W Peace St
Canton, MS 39046-4325
Phone
(601) 691-2277
NPI assigned
Nov 1, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2024

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

Authorized official

Name
Mr. Vernon Troy Brown Jr.
Title
Owner
Phone
(470) 496-7066

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X Primary
Physical Therapy Clinic/Center 261QP2000X

Addresses

Primary practice location

217 W Peace St
Canton, MS 39046-4325

Mailing address

402 Audubon Woods
Canton, MS 39046-8883
Phone (470) 496-7066

National Provider Directory

National Provider Directory

Locations

217 W Peace St
Canton, MS 39046
Phone (601) 691-2277

NPI Registry JSON

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

{
    "created_epoch": "1730419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730419200000",
    "number": "1235952045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 AUDUBON WOODS",
            "city": "CANTON",
            "state": "MS",
            "postal_code": "390468883",
            "telephone_number": "470-496-7066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 W PEACE ST",
            "city": "CANTON",
            "state": "MS",
            "postal_code": "390464325",
            "telephone_number": "601-691-2277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEET AT THE WELL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-01",
        "last_updated": "2024-11-01",
        "certification_date": "2024-11-01",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "VERNON",
        "authorized_official_middle_name": "TROY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "470-496-7066",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2024; 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.