Active NPI
Pathway Healthcare- Columbus, Ms LLC
- Addiction Medicine (Family Medicine) Physician
- Columbus, MS
National Provider Identifier
1245755990
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction Medicine (Family Medicine) Physician
- Legal business name
- PATHWAY HEALTHCARE- COLUMBUS, MS LLC
- Practice address
- 3600 Bluecutt Rd Ste 200
Columbus, MS 39705-1303 - Phone
- (731) 265-6025
- Fax
- (731) 265-6028
- NPI assigned
- Aug 3, 2017
- 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
- Krystal Spencer
- Title
- Business Office Manager
- Phone
- (731) 265-6025
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction Medicine (Family Medicine) Physician | 207QA0401X | Primary |
Addresses
Primary practice location
3600 Bluecutt Rd Ste 200
Columbus, MS 39705-1303
Mailing address
37 Sandstone Cir Ste 92
Jackson, TN 38305-3168
Phone (731) 265-6025
Other practice location 1
1 Medical Plaza Dr
Vicksburg, MS 39180-5187
Phone (601) 883-0264
National Provider Directory
National Provider DirectoryLocations
3600 Bluecutt Rd
Ste 201
Columbus, MS 39705
Phone (662) 329-3973
1 Medical Plaza Dr
Vicksburg, MS 39180
Phone (601) 883-0264
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1501718400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1521244800000",
"number": "1245755990",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "37 SANDSTONE CIR STE 92",
"city": "JACKSON",
"state": "TN",
"postal_code": "383053168",
"telephone_number": "731-265-6025",
"fax_number": "731-265-6028"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3600 BLUECUTT RD STE 200",
"city": "COLUMBUS",
"state": "MS",
"postal_code": "397051303",
"telephone_number": "731-265-6025",
"fax_number": "731-265-6028"
}
],
"practiceLocations": [
{
"address_1": "1 Medical Plaza Dr",
"address_purpose": "LOCATION",
"city": "Vicksburg",
"state": "MS",
"postal_code": "391805187",
"country_code": "US",
"telephone_number": "601-883-0264",
"fax_number": "601-883-0266",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "PATHWAY HEALTHCARE- COLUMBUS, MS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-08-03",
"last_updated": "2018-03-17",
"status": "A",
"authorized_official_last_name": "SPENCER",
"authorized_official_first_name": "KRYSTAL",
"authorized_official_title_or_position": "BUSINESS OFFICE MANAGER",
"authorized_official_telephone_number": "731-265-6025"
},
"taxonomies": [
{
"code": "207QA0401X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine, Addiction Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbus, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.