Organization Active NPI

Highland Pediatrics PLLC

  • Pediatrics Physician
  • Picayune, MS
National Provider Identifier
1356539118
Registry record updated Oct 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
HIGHLAND PEDIATRICS PLLC
Practice address
409 Carroll St
Picayune, MS 39466-2607
Phone
(601) 798-5227
Fax
(601) 798-5271
NPI assigned
Oct 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2007

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

Authorized official

Name
Jose A Rodriguez, MD
Title
Owner
Phone
(601) 798-5227

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

409 Carroll St
Picayune, MS 39466-2607

Mailing address

409 Carroll St
Picayune, MS 39466-2607
Phone (601) 798-5227

National Provider Directory

National Provider Directory

Locations

409 Carroll St
Picayune, MS 39466
Phone (601) 749-0862

NPI Registry JSON

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

{
    "created_epoch": "1191542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191542400000",
    "number": "1356539118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 CARROLL ST",
            "city": "PICAYUNE",
            "state": "MS",
            "postal_code": "394662607",
            "telephone_number": "601-798-5227",
            "fax_number": "601-798-5271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 CARROLL ST",
            "city": "PICAYUNE",
            "state": "MS",
            "postal_code": "394662607",
            "telephone_number": "601-798-5227",
            "fax_number": "601-798-5271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGHLAND PEDIATRICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-05",
        "last_updated": "2007-10-05",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-798-5227",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Picayune, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2007; 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.