Active NPI
Corinth Pulmonary Clinic and Rehabilitation, PA
- Pulmonary Disease Physician
- Corinth, MS
National Provider Identifier
1336310077
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- Legal business name
- CORINTH PULMONARY CLINIC AND REHABILITATION, PA
- Practice address
- 209 N Harper Rd
Corinth, MS 38834-5271 - Phone
- (662) 286-1901
- Fax
- (662) 286-3721
- NPI assigned
- Mar 21, 2008
- Last updated
- Dec 10, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Debbie Brown
- Title
- Office Manager
- Phone
- (662) 286-1901
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | Primary |
Addresses
Primary practice location
209 N Harper Rd
Corinth, MS 38834-5271
Mailing address
209 N Harper Rd
Corinth, MS 38834-5271
Phone (662) 286-1901
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 25D2103436 | Corinth Pulmonary Clinic | Certificate of waiver | Oct 12, 2027 |
National Provider Directory
National Provider DirectoryLocations
209 N Harper Rd
Corinth, MS 38834
Phone (662) 286-1901
Practitioners & affiliated clinicians
Practitioners 6
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.
-
- Family Nurse Practitioner
- Booneville, MS
- NPI 1558386920
-
- Family Nurse Practitioner
- Corinth, MS
- NPI 1376169904
-
- Family Nurse Practitioner
- Iuka, MS
- NPI 1912418781
-
- Pulmonary Disease Physician
- Corinth, MS
- NPI 1881615995
-
- Surgery Physician
- Corinth, MS
- NPI 1134142334
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1206057600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1260403200000",
"number": "1336310077",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "209 N HARPER RD",
"city": "CORINTH",
"state": "MS",
"postal_code": "388345271",
"telephone_number": "662-286-1901",
"fax_number": "662-286-3721"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "209 N HARPER RD",
"city": "CORINTH",
"state": "MS",
"postal_code": "388345271",
"telephone_number": "662-286-1901",
"fax_number": "662-286-3721"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CORINTH PULMONARY CLINIC AND REHABILITATION, PA",
"organizational_subpart": "NO",
"enumeration_date": "2008-03-21",
"last_updated": "2009-12-10",
"status": "A",
"authorized_official_last_name": "BROWN",
"authorized_official_first_name": "DEBBIE",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "662-286-1901"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Corinth, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.