Active NPI
New Progressions of Mississippi, LLC
- Community/Behavioral Health Agency
- Brandon, MS
National Provider Identifier
1366886772
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- 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, 2013
- 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
- Mr. Geovon K Martin, BS
- Title
- Ceo/Director
- Phone
- (336) 254-6770
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.