Organization Active NPI

Natchez Podiatry PLLC

  • Foot Surgery Podiatrist
  • Natchez, MS
National Provider Identifier
1346964137
Registry record updated Sep 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
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

Updated by the provider on Sep 27, 2022

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

Authorized official

Name
Dr. Richard A Myers Jr., DPMNPI 1265566491
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)CodeLicenseStatePrimary
Foot Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
00115536MedicaidMS

Electronic endpoints 1

TypeEndpointUseAffiliation
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 IDStateProvider typePAC IDDetails
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 Directory

Practitioners & 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.

Verify at the official NPI Registry.