Organization Active NPI

North Mississippi Allergy and Asthma Center PLLC

Doing business as North Mississippi Allergy and Asthma Center

  • Allergy Physician
  • New Albany, MS
National Provider Identifier
1336648781
Registry record updated Feb 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy PhysicianTaxonomy code 207KA0200X
Legal business name
NORTH MISSISSIPPI ALLERGY AND ASTHMA CENTER PLLC
Doing business as
North Mississippi Allergy and Asthma Center
Practice address
118 Fairfield Drive
New Albany, MS 38652
Phone
(662) 620-0688
NPI assigned
Feb 12, 2018
Last updated
Feb 12, 2018By the provider in NPPES
Organization subpart
Yes
Parent organization
NORTH MISSISSIPPI ALLERGY AND ASTHMA CENTER PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 12, 2018

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

Authorized official

Name
Stephanie Shelton Finney
Title
Office Manager
Phone
(662) 620-0688

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy Physician 207KA0200X NU Primary

Addresses

Primary practice location

118 Fairfield Drive
New Albany, MS 38652

Mailing address

450 E President Ave
Tupelo, MS 38801-5599
Phone (662) 377-4685

Other names 1

  • North Mississippi Allergy and Asthma Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080828000366 MS Part B Supplier - Clinic/Group Practice 6103992086 Receives reassigned benefits from 2 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Starkville, MS; Tupelo, MS

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
North Ms Allergy Asthma Ctr

Locations

103 Doctors Park
Starkville, MS 39759
Phone (601) 323-2515

130 Doctors Park
Starkville, MS 39759
Phone (662) 620-0688

501 Hospital Rd
Starkville, MS 39759
Phone (662) 323-3162

1512 Medical Park Cir
Tupelo, MS 38801
Phone (662) 620-0688

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1518393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1518393600000",
    "number": "1336648781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 E PRESIDENT AVE",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388015599",
            "telephone_number": "662-377-4685",
            "fax_number": "662-377-2755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 FAIRFIELD DRIVE",
            "city": "NEW ALBANY",
            "state": "MS",
            "postal_code": "38652",
            "telephone_number": "662-620-0688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH MISSISSIPPI ALLERGY AND ASTHMA CENTER PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NORTH MISSISSIPPI ALLERGY AND ASTHMA CENTER PLLC",
        "enumeration_date": "2018-02-12",
        "last_updated": "2018-02-12",
        "status": "A",
        "authorized_official_last_name": "FINNEY",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "SHELTON",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "662-620-0688"
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Allergy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North Mississippi Allergy and Asthma Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New Albany, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.