Active NPI
Natchez Family Medicine
- Family Medicine Physician
- Natchez, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- NATCHEZ FAMILY MEDICINE
- Practice address
- 307 Highland Blvd
Natchez, MS 39120-4610 - Phone
- (601) 392-0404
- NPI assigned
- Aug 5, 2017
- 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
- Jose Serio, NP
- Title
- Owner/FNP
- Phone
- (601) 392-0404
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
307 Highland Blvd
Natchez, MS 39120-4610
Mailing address
307 Highland Blvd
Natchez, MS 39120-2709
Phone (601) 392-0404
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | manager@natchezfamilymedicine.com | Direct |
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 |
|---|---|---|---|
| 25D2135805 | Natchez Family Medicine, LLC | Certificate of waiver | Aug 27, 2027 |
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Natchez, MS
- NPI 1265443063
-
- Family Nurse Practitioner
- Natchez, MS
- NPI 1699372169
-
- Diagnostic Radiology Physician
- Natchez, MS
- NPI 1912990961
-
- Diagnostic Radiology Physician
- Natchez, MS
- NPI 1144213141
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1501891200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658102400000",
"number": "1346765872",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "307 HIGHLAND BLVD",
"city": "NATCHEZ",
"state": "MS",
"postal_code": "391202709",
"telephone_number": "601-392-0404",
"fax_number": "601-653-0352"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "307 HIGHLAND BLVD",
"city": "NATCHEZ",
"state": "MS",
"postal_code": "391204610",
"telephone_number": "601-392-0404"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NATCHEZ FAMILY MEDICINE",
"organizational_subpart": "NO",
"enumeration_date": "2017-08-05",
"last_updated": "2022-07-18",
"certification_date": "2022-07-18",
"status": "A",
"authorized_official_last_name": "SERIO",
"authorized_official_first_name": "JOSE",
"authorized_official_title_or_position": "OWNER/FNP",
"authorized_official_telephone_number": "601-392-0404",
"authorized_official_credential": "NP"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "manager@natchezfamilymedicine.com",
"affiliation": "N",
"endpointDescription": "Secure email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "307 Highland Blvd",
"city": "Natchez",
"state": "MS",
"country_code": "US",
"postal_code": "391204610",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Natchez, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2022; 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.