NPIMap

Organization Active NPI

North Mississippi Spine Center, Inc

  • Ambulatory Surgical Clinic/Center
  • Batesville, MS
National Provider Identifier
1295827004
Registry record updated Apr 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
25C0001060 Issued in MS
Legal business name
NORTH MISSISSIPPI SPINE CENTER, INC
Practice address
109 Eureka Street
Suite B
Batesville, MS 38606
Phone
(662) 563-7728
Fax
(662) 563-4888
NPI assigned
Sep 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2013

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

Authorized official

Name
Mrs. Bridgette Rockette Harmon, RN, BSN
Title
Manager of Clinical Services
Phone
(662) 563-7728

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 25C0001060 MS Primary
Physiological Laboratory 293D00000X 542011 MS
Prosthetic/Orthotic Supplier 335E00000X MS

Addresses

Primary practice location

109 Eureka Street
Suite B
Batesville, MS 38606

Mailing address

PO Box 1204
Oxford, MS 38655-1204
Phone (662) 563-7728

Other identifiers 6

IdentifierTypeStateIssuer
04584863MedicaidMS
00122658MedicaidMS
05001777MedicaidMS
05621095MedicaidMS
5521760001OtherMSNSCSSUPP DMEPOS
00015663MedicaidMS

Other names 1

  • North Mississippi Spine Center Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366761600000",
    "number": "1295827004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1204",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "386551204",
            "telephone_number": "662-563-7728",
            "fax_number": "662-563-4888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 EUREKA STREET",
            "address_2": "SUITE B",
            "city": "BATESVILLE",
            "state": "MS",
            "postal_code": "38606",
            "telephone_number": "662-563-7728",
            "fax_number": "662-563-4888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH MISSISSIPPI SPINE CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-29",
        "last_updated": "2013-04-24",
        "status": "A",
        "authorized_official_last_name": "HARMON",
        "authorized_official_first_name": "BRIDGETTE",
        "authorized_official_middle_name": "ROCKETTE",
        "authorized_official_title_or_position": "MANAGER OF CLINICAL SERVICES",
        "authorized_official_telephone_number": "662-563-7728",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN, BSN"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "MS",
            "license": "25C0001060",
            "primary": true
        },
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": "MS",
            "license": "542011",
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "MS",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04584863",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00122658",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05001777",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05621095",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NSCSSUPP DMEPOS",
            "identifier": "5521760001",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00015663",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North Mississippi Spine Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Batesville, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2013; 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.