NPIMap

Organization Active NPI

Care Plus Pelahatchie Clinic

  • Family Medicine Physician
  • Pelahatchie, MS
National Provider Identifier
1245420835
Registry record updated May 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
CARE PLUS PELAHATCHIE CLINIC
Practice address
501 Highway 80 East
Pelahatchie, MS 39145
Phone
(601) 854-8002
Fax
(601) 854-7333
NPI assigned
Jul 30, 2007
Last updated
May 29, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
RIVER OAKS MANAGEMENT COMPANY, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on May 29, 2008

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

Authorized official

Name
Brad Sinclair
Title
Regional Manager
Phone
(601) 936-2102

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

501 Highway 80 East
Pelahatchie, MS 39145

Mailing address

501 Highway 80 East
Pelahatchie, MS 39145
Phone (601) 854-8002

National Provider Directory

National Provider Directory
Tax ID family
Neurosurgical Associates40 organizations share this tax ID, including this one
Part of
Neurosurgical Associates

Other organizations with this tax ID 39

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

View all 39

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": "1185753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212019200000",
    "number": "1245420835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 HIGHWAY 80 EAST",
            "city": "PELAHATCHIE",
            "state": "MS",
            "postal_code": "39145",
            "telephone_number": "601-854-8002",
            "fax_number": "601-854-7333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 HIGHWAY 80 EAST",
            "city": "PELAHATCHIE",
            "state": "MS",
            "postal_code": "39145",
            "telephone_number": "601-854-8002",
            "fax_number": "601-854-7333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARE PLUS PELAHATCHIE CLINIC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RIVER OAKS MANAGEMENT COMPANY, INC.",
        "enumeration_date": "2007-07-30",
        "last_updated": "2008-05-29",
        "status": "A",
        "authorized_official_last_name": "SINCLAIR",
        "authorized_official_first_name": "BRAD",
        "authorized_official_title_or_position": "REGIONAL MANAGER",
        "authorized_official_telephone_number": "601-936-2102"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pelahatchie, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2008; 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.