Active NPI
Natchez Podiatry PLLC
- Foot Surgery Podiatrist
- Natchez, MS
National Provider Identifier
1346964137
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot Surgery Podiatrist
- Legal business name
- NATCHEZ PODIATRY PLLC
- Practice address
- 151 Jeff Davis Blvd Ste H
Natchez, MS 39120-5140 - Phone
- (601) 446-9850
- Fax
- (601) 446-9833
- NPI assigned
- Sep 27, 2022
- 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
- Dr. Richard A Myers Jr., DPM
- Title
- Podiatrist
- Phone
- (601) 446-9850
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 |
|---|---|---|---|---|
| Foot Surgery Podiatrist | 213ES0131X | Primary |
Addresses
Primary practice location
151 Jeff Davis Blvd Ste H
Natchez, MS 39120-5140
Mailing address
PO Box 18195
Natchez, MS 39122-8195
Phone (601) 446-9850
Other practice location 1
122 5th Ave Ste A
McComb, MS 39648-4159
Phone (601) 249-0247
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00115536 | Medicaid | MS |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | myers.richard.dr@gmail.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230501002420 | MS | Part B Supplier - Clinic/Group Practice | 1153786975 |
Receives reassigned benefits from 1 practitioner Practice locations: McComb, MS; Natchez, MS |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1664236800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1664236800000",
"number": "1346964137",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 18195",
"city": "NATCHEZ",
"state": "MS",
"postal_code": "391228195",
"telephone_number": "601-446-9850",
"fax_number": "601-446-9833"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "151 JEFF DAVIS BLVD STE H",
"city": "NATCHEZ",
"state": "MS",
"postal_code": "391205140",
"telephone_number": "601-446-9850",
"fax_number": "601-446-9833"
}
],
"practiceLocations": [
{
"address_1": "122 5th Ave Ste A",
"address_purpose": "LOCATION",
"city": "McComb",
"state": "MS",
"postal_code": "396484159",
"country_code": "US",
"telephone_number": "601-249-0247",
"fax_number": "601-249-2437",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "NATCHEZ PODIATRY PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-09-27",
"last_updated": "2022-09-27",
"certification_date": "2022-09-27",
"status": "A",
"authorized_official_last_name": "MYERS",
"authorized_official_first_name": "RICHARD",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "PODIATRIST",
"authorized_official_telephone_number": "601-446-9850",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213ES0131X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist, Foot Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00115536",
"state": "MS"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "myers.richard.dr@gmail.com",
"affiliation": "N",
"endpointDescription": "email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "151 Jeff Davis Blvd Ste H",
"city": "Natchez",
"state": "MS",
"country_code": "US",
"postal_code": "391205140",
"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 Sep 27, 2022; 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.