NPIMap

Individual provider Active NPI

Carla Mitchell Armstrong, M.D.

  • Legal Medicine
  • Tylertown, MS
National Provider Identifier
1346238359
Registry record updated Mar 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Legal MedicineTaxonomy code 173000000X
License
14419 Issued in MS
Practice address
155 Hospital Dr
Tylertown, MS 39667-2021
Phone
(601) 876-5337
Fax
(601) 876-5190
NPI assigned
Oct 12, 2005
Last updated
Mar 12, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Legal Medicine 173000000X 14419 MS Primary

Addresses

Primary practice location

155 Hospital Dr
Tylertown, MS 39667-2021

Mailing address

155 Hospital Dr
P O Box 424
Tylertown, MS 39667-2021
Phone (601) 876-5337

Other identifiers 3

IdentifierTypeStateIssuer
0113821MedicaidMS
0130138OtherMSUNITED HEALTHCARE
7689111OtherMSAETNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110126000762 MS Practitioner - Family Practice 9638118433 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Mississippi School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
RH Hospitalist Medicine of Walthall General LLCGroup PAC ID 2365881091, 16 clinicians

Practice addresses (Care Compare)

100 Hospital Dr
Tylertown, MS 39667-2022
Phone (601) 876-2122

155 Hospital Dr
Tylertown, MS 39667-2021
Phone (601) 876-5337

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
14419MSMDLegal Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
RH Hospitalist Medicine of Walthall General LLC CurrentSince May 1, 2024 Accepting new patients
Madden Medical Clinic LLC CurrentSince Jan 1, 2023 Accepting new patients
Keystone Medical Services of Ms, Inc CurrentSince Nov 1, 2012 Accepting new patients
RH Emergency Medicine of Walthall General LLC CurrentSince May 1, 2024 Accepting new patients
Cma Family Medicine Clinic Legal Medicine CurrentSince Jul 25, 2000 Accepting new patients
Billdora Senior Care LLC Past Accepting new patients
Walthall General Hospital Past Accepting new patients
Diversicare of Tylertown, LLC Past Accepting new patients

Locations

1071 E Franklin St
Carthage, MS 39051
Phone (601) 267-4562

1560 Sumrall Rd
Columbia, MS 39429
Phone (601) 736-6303

100 Hospital Dr
Tylertown, MS 39667
Phone (601) 876-0455

155 Hospital Dr
Tylertown, MS 39667
Phone (601) 876-5337

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1129075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205280000000",
    "number": "1346238359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 HOSPITAL DR",
            "address_2": "P O BOX 424",
            "city": "TYLERTOWN",
            "state": "MS",
            "postal_code": "396672021",
            "telephone_number": "601-876-5337",
            "fax_number": "601-876-5190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 HOSPITAL DR",
            "city": "TYLERTOWN",
            "state": "MS",
            "postal_code": "396672021",
            "telephone_number": "601-876-5337",
            "fax_number": "601-876-5190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARMSTRONG",
        "first_name": "CARLA",
        "middle_name": "MITCHELL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-12",
        "last_updated": "2008-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "",
            "desc": "Legal Medicine",
            "state": "MS",
            "license": "14419",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0113821",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "0130138",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7689111",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tylertown, MS

Sources for this page

Verify at the official NPI Registry.