Guardian Angel Healthcare II, Inc

Primary specialty

Psychiatric Hospital UnitTaxonomy code 273R00000X

License

16-255 Issued in MS

Legal business name

GUARDIAN ANGEL HEALTHCARE II, INC

Doing business as

Patient's Choice Medical Center

Practice address

347 Magnolia Drive
Raleigh, MS 39153

Phone

(601) 782-9997

Fax

(601) 732-8037

NPI assigned

Sep 16, 2009

Last updated

Feb 7, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Paulette H Butler, PHD

Title

Ceo

Phone

(601) 782-9997

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Patient's Choice Medical Center Doing business as

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

{
    "created_epoch": "1253059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644192000000",
    "number": "1285967653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 S HALL RD",
            "city": "MORTON",
            "state": "MS",
            "postal_code": "391178057",
            "telephone_number": "601-782-9997",
            "fax_number": "601-732-8037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "347 MAGNOLIA DRIVE",
            "city": "RALEIGH",
            "state": "MS",
            "postal_code": "39153",
            "telephone_number": "601-782-9997",
            "fax_number": "601-732-8037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUARDIAN ANGEL HEALTHCARE II, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-16",
        "last_updated": "2022-02-07",
        "certification_date": "2022-02-07",
        "status": "A",
        "authorized_official_last_name": "BUTLER",
        "authorized_official_first_name": "PAULETTE",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "601-782-9997",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": "MS",
            "license": "16-255",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "25-S163",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Patient's Choice Medical Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Patient's Choice Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cayla Lloyd Dickerson, DMD
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• Geriatric Connections, LLC
• Guardian Angel Healthcare II, Inc (Patients' Choice Medical Center)
• Guardian Angel Healthcare II, Inc (Patient's Choice Medical Center of Smith County)
• Guardian Angel Healthcare II, Inc.
• Guardian Angel Healthcare II, Inc. (Patients' Choice Medical Center of Smith county)
• Guardian Angel Healthcare Inc., II (Patients Choice Clinic of Raleigh)

• Psychiatric Hospital Unit in Raleigh, MS
• Providers in Raleigh, MS by specialty
• Psychiatric Hospital Unit in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2022; 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.