Organization Active NPI

New Beginnings

  • Specialist
  • Carriere, MS
National Provider Identifier
1265630834
Registry record updated Jul 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
R606391 Issued in MS
Legal business name
NEW BEGINNINGS
Practice address
79 Pink Smith Rd
Carriere, MS 39426-8641
Phone
(601) 749-3887
NPI assigned
Jul 5, 2007
Last updated
Jul 11, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2008

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

Authorized official

Name
Carolyn Blythe A. Blythe, PHMNP
Title
Provider
Phone
(601) 749-3887

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X R606391 MS Primary

Addresses

Primary practice location

79 Pink Smith Rd
Carriere, MS 39426-8641

Mailing address

79 Pink Smith Rd
Carriere, MS 39426-8641
Phone (601) 749-3887

Other identifiers 2

IdentifierTypeStateIssuer
04007878MedicaidMS
433667051BOtherMSBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080911000297 MS Part B Supplier - Clinic/Group Practice 0547336760 Receives reassigned benefits from 1 practitioner
Practice locations: Carriere, MS

National Provider Directory

National Provider Directory

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": "1183593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215734400000",
    "number": "1265630834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "79 PINK SMITH RD",
            "city": "CARRIERE",
            "state": "MS",
            "postal_code": "394268641",
            "telephone_number": "601-749-3887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "79 PINK SMITH RD",
            "city": "CARRIERE",
            "state": "MS",
            "postal_code": "394268641",
            "telephone_number": "601-749-3887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW BEGINNINGS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-05",
        "last_updated": "2008-07-11",
        "status": "A",
        "authorized_official_last_name": "BLYTHE",
        "authorized_official_first_name": "CAROLYN BLYTHE",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "601-749-3887",
        "authorized_official_credential": "PHMNP"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MS",
            "license": "R606391",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04007878",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "433667051B",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carriere, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.