NPIMap

Organization Active NPI

Neshoba County General Hospital

Doing business as Walnut Grove Medical Associates

  • Family Medicine Physician
  • Walnut Grove, MS
National Provider Identifier
1255650321
Registry record updated Jan 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
12146 Issued in MS
Legal business name
NESHOBA COUNTY GENERAL HOSPITAL
Doing business as
Walnut Grove Medical Associates
Practice address
110 Park St
Walnut Grove, MS 39189-6526
Phone
(601) 253-0173
Fax
(601) 253-0176
NPI assigned
May 27, 2010
Last updated
Jan 7, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2011

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

Authorized official

Name
Mrs. Cheryl L Savell
Title
Provider Enrollment
Phone
(601) 389-1563

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X 12146 MS Primary

Addresses

Primary practice location

110 Park St
Walnut Grove, MS 39189-6526

Mailing address

110 Park St
Walnut Grove, MS 39189-6526
Phone (601) 253-0173

Other names 1

  • Walnut Grove Medical Associates Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Neshoba Co Gen Hosp CRN16 organizations share this tax ID, including this one

Other organizations with this tax ID 15

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

View all 15

Practitioners & affiliated clinicians

Practitioners 2

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": "1274918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294358400000",
    "number": "1255650321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 PARK ST",
            "city": "WALNUT GROVE",
            "state": "MS",
            "postal_code": "391896526",
            "telephone_number": "601-253-0173",
            "fax_number": "601-253-0176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 PARK ST",
            "city": "WALNUT GROVE",
            "state": "MS",
            "postal_code": "391896526",
            "telephone_number": "601-253-0173",
            "fax_number": "601-253-0176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NESHOBA COUNTY GENERAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-27",
        "last_updated": "2011-01-07",
        "status": "A",
        "authorized_official_last_name": "SAVELL",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PROVIDER ENROLLMENT",
        "authorized_official_telephone_number": "601-389-1563",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "MS",
            "license": "12146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Walnut Grove Medical Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Walnut Grove, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2011; 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.