Organization Active NPI

New Progressions of Mississippi, LLC

  • Community/Behavioral Health Agency
  • Brandon, MS
National Provider Identifier
1366886772
Registry record updated Apr 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
NEW PROGRESSIONS OF MISSISSIPPI, LLC
Practice address
1490 W Government St Ste 7-263
Brandon, MS 39042-3024
Phone
(336) 254-6770
NPI assigned
Apr 29, 2013
Last updated
Apr 29, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2013

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

Authorized official

Name
Mr. Geovon K Martin, BS
Title
Ceo/Director
Phone
(336) 254-6770

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X MS Primary

Addresses

Primary practice location

1490 W Government St Ste 7-263
Brandon, MS 39042-3024

Mailing address

620 Guilford College Rd Ste G
Greensboro, NC 27409-2027
Phone (336) 254-6770

National Provider Directory

National Provider Directory

Locations

1490 W Government St
Ste 7263
Brandon, MS 39042
Phone (336) 254-6770

406 Marquis St
Jackson, MS 39206
Phone (470) 268-6771

NPI Registry JSON

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

{
    "created_epoch": "1367193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367193600000",
    "number": "1366886772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 GUILFORD COLLEGE RD STE G",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274092027",
            "telephone_number": "336-254-6770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1490 W GOVERNMENT ST STE 7-263",
            "city": "BRANDON",
            "state": "MS",
            "postal_code": "390423024",
            "telephone_number": "336-254-6770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW PROGRESSIONS OF MISSISSIPPI, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-29",
        "last_updated": "2013-04-29",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "GEOVON",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "CEO/DIRECTOR",
        "authorized_official_telephone_number": "336-254-6770",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "BS"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MS",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brandon, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2013; 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.