NPIMap

Organization Active NPI

Southwest Mississippi Planning and Development District

  • Case Management Agency
  • Meadville, MS
National Provider Identifier
1306114319
Registry record updated Dec 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
SOUTHWEST MISSISSIPPI PLANNING AND DEVELOPMENT DISTRICT
Practice address
2265 Highway 84 E
Meadville, MS 39653-8447
Phone
(601) 384-5200
Fax
(601) 384-5315
NPI assigned
Dec 5, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2011

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

Authorized official

Name
Mr. Wirt L Peterson
Title
Executive Director
Phone
(601) 446-6044

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary
In Home Supportive Care Agency 253Z00000X

Addresses

Primary practice location

2265 Highway 84 E
Meadville, MS 39653-8447

Mailing address

100 S Wall St
Natchez, MS 39120-3477
Phone (601) 446-6044

Other identifiers 6

IdentifierTypeStateIssuer
1861591075OtherMSNPI
06026374MedicaidMS
1811169840OtherMSNPI
00770117MedicaidMS
1467556092OtherMSNPI
00770314MedicaidMS

National Provider Directory

National Provider Directory
Tax ID family
Southwest Mississippi Planning and Development District5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Locations

2265 Highway 84 E
Meadville, MS 39653
Phone (601) 384-5200

NPI Registry JSON

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

{
    "created_epoch": "1323043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323043200000",
    "number": "1306114319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 S WALL ST",
            "city": "NATCHEZ",
            "state": "MS",
            "postal_code": "391203477",
            "telephone_number": "601-446-6044",
            "fax_number": "601-446-6071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2265 HIGHWAY 84 E",
            "city": "MEADVILLE",
            "state": "MS",
            "postal_code": "396538447",
            "telephone_number": "601-384-5200",
            "fax_number": "601-384-5315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST MISSISSIPPI PLANNING AND DEVELOPMENT DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-05",
        "last_updated": "2011-12-05",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "WIRT",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "601-446-6044",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1861591075",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06026374",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1811169840",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00770117",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1467556092",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00770314",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Meadville, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 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.