Middle Ms Access Corporation

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

License

320800000 Issued in MS

Legal business name

MIDDLE MS ACCESS CORPORATION

Practice address

620 W Amite St
Jackson, MS 39203-2618

Phone

(601) 940-0183

NPI assigned

Jan 24, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Kerry Michael Gray, PH.D

Title

Chief Financial Officer

Phone

(601) 940-0183

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1390521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391040000000",
    "number": "1316360449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 757",
            "city": "TERRY",
            "state": "MS",
            "postal_code": "391700757",
            "telephone_number": "601-940-0183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 W AMITE ST",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392032618",
            "telephone_number": "601-940-0183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDDLE MS ACCESS CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-24",
        "last_updated": "2014-01-30",
        "status": "A",
        "authorized_official_last_name": "GRAY",
        "authorized_official_first_name": "KERRY",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "601-940-0183",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "MS",
            "license": "320800000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Adam Middleton
• Alyssa Downing Middleton, M.D.
• Brennen Michael Middleton, MD
• Charles Hunter Middleton
• Hailey C Middleton, SLP

• Mental Illness Community Based Residential Treatment Facility in Jackson, MS
• Providers in Jackson, MS by specialty
• Mental Illness Community Based Residential Treatment Facility in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2014; 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.