NPIMap

Organization Active NPI

Amnuey M Chiemprabha MD PA

Doing business as Doctors Clinic

  • Family Medicine Physician
  • Mendenhall, MS
National Provider Identifier
1346300423
Registry record updated May 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
08142 Issued in MS
Legal business name
AMNUEY M CHIEMPRABHA MD PA
Doing business as
Doctors Clinic
Practice address
820 Mangum Ave
Mendenhall, MS 39114
Phone
(601) 847-5066
Fax
(601) 847-0149
NPI assigned
Dec 11, 2006
Last updated
May 5, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2008

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

Authorized official

Name
Amnuey M Chiemprabha, MD
Title
President
Phone
(601) 847-5066

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 08142 MS Primary
Surgery Physician 208600000X 08142 MS

Addresses

Primary practice location

820 Mangum Ave
Mendenhall, MS 39114

Mailing address

PO Box 295
Mendenhall, MS 39114
Phone (601) 847-5066

Other identifiers 1

IdentifierTypeStateIssuer
01722227MedicaidMS

Other names 1

  • Doctors Clinic Doing business as

National Provider Directory

National Provider Directory

Locations

820 Mangum Ave
Mendenhall, MS 39114
Phone (601) 847-5066

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": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209945600000",
    "number": "1346300423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 295",
            "city": "MENDENHALL",
            "state": "MS",
            "postal_code": "39114",
            "telephone_number": "601-847-5066",
            "fax_number": "601-847-0149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 MANGUM AVE",
            "city": "MENDENHALL",
            "state": "MS",
            "postal_code": "39114",
            "telephone_number": "601-847-5066",
            "fax_number": "601-847-0149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMNUEY M CHIEMPRABHA MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2008-05-05",
        "status": "A",
        "authorized_official_last_name": "CHIEMPRABHA",
        "authorized_official_first_name": "AMNUEY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "601-847-5066",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MS",
            "license": "08142",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MS",
            "license": "08142",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01722227",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Doctors Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mendenhall, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2008; 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.