Active NPI
Meet at the Well LLC
- Public Health or Welfare Agency
- Canton, MS
National Provider Identifier
1235952045
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health or Welfare Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.