NPIMap

Organization Active NPI

Methodist Specialty Care Center

  • Nursing Facility/Intermediate Care Facility
  • Flowood, MS
National Provider Identifier
1245389386
Registry record updated Dec 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
Legal business name
METHODIST SPECIALTY CARE CENTER
Practice address
1 Layfair Dr
Suite 500
Flowood, MS 39232-9717
Phone
(601) 420-7760
Fax
(601) 420-7770
NPI assigned
Jan 9, 2007
Last updated
Dec 27, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2016

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

Authorized official

Name
Mr. Larry McKnight
Title
Administrator
Phone
(601) 420-7760

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X MS Primary

Addresses

Primary practice location

1 Layfair Dr
Suite 500
Flowood, MS 39232-9717

Mailing address

1 Layfair Dr
Suite 500
Flowood, MS 39232-9717
Phone (601) 420-7760

Other identifiers 1

IdentifierTypeStateIssuer
04477051MedicaidMS

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
25D1023129Methodist Specialty Care Center1 Layfair Drive Ste 500, Flowood, MS 39232Certificate of waiverMar 8, 2028

National Provider Directory

National Provider Directory
Tax ID family
Ms Methodist Rehab Center14 organizations share this tax ID, including this one

Other organizations with this tax ID 13

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

View all 13

Locations

1 Layfair Dr
Ste 500
Flowood, MS 39232
Phone (601) 420-7720

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482796800000",
    "number": "1245389386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 LAYFAIR DR",
            "address_2": "SUITE 500",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392329717",
            "telephone_number": "601-420-7760",
            "fax_number": "601-420-7770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 LAYFAIR DR",
            "address_2": "SUITE 500",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392329717",
            "telephone_number": "601-420-7760",
            "fax_number": "601-420-7770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METHODIST SPECIALTY CARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-09",
        "last_updated": "2016-12-27",
        "status": "A",
        "authorized_official_last_name": "MCKNIGHT",
        "authorized_official_first_name": "LARRY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "601-420-7760",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "MS",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04477051",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flowood, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.