NPIMap

Organization Active NPI

North Mississippi Commission on Mental Illness/Mental Retardation

Doing business as Communicare

  • Primary Care Clinic/Center
  • Oxford, MS
National Provider Identifier
1376208173
Registry record updated Nov 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
NORTH MISSISSIPPI COMMISSION ON MENTAL ILLNESS/MENTAL RETARDATION
Doing business as
Communicare
Communicare Certified Community Behavioral Health Clinic
Practice address
2890 S Lamar Blvd
Oxford, MS 38655-5347
Phone
(662) 234-7521
Fax
(662) 236-3071
NPI assigned
Nov 5, 2021
Last updated
Nov 5, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
NORTH MISSISSIPPI COMMISSION ON MENTAL ILLNESS/ MENTALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 5, 2021

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

Authorized official

Name
Dr. Sandy A Rogers, PH.D.
Title
Executive Director
Phone
(662) 234-7521

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

2890 S Lamar Blvd
Oxford, MS 38655-5347

Mailing address

152 Highway 7 S
Oxford, MS 38655-5392
Phone (662) 234-7521

Other names 2

  • COMMUNICARE Doing business as
  • COMMUNICARE CERTIFIED COMMUNITY BEHAVIORAL HEALTH CLINIC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120222001054 MS Part B Supplier - Clinic/Group Practice 6103084041 Receives reassigned benefits from 31 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Oxford, MS

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
North Mississippi Commission on Mental Illness Mental5 organizations share this tax ID, including this one
Part of
North Mississippi Commission on Mental Illness Mental

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 30

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 30

NPI Registry JSON

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

{
    "created_epoch": "1636070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636070400000",
    "number": "1376208173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "152 HIGHWAY 7 S",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "386555392",
            "telephone_number": "662-234-7521",
            "fax_number": "662-236-3071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2890 S LAMAR BLVD",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "386555347",
            "telephone_number": "662-234-7521",
            "fax_number": "662-236-3071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH MISSISSIPPI COMMISSION ON MENTAL ILLNESS/MENTAL RETARDATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NORTH MISSISSIPPI COMMISSION ON MENTAL ILLNESS/ MENTAL",
        "enumeration_date": "2021-11-05",
        "last_updated": "2021-11-05",
        "certification_date": "2021-11-05",
        "status": "A",
        "authorized_official_last_name": "ROGERS",
        "authorized_official_first_name": "SANDY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "662-234-7521",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "COMMUNICARE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "COMMUNICARE CERTIFIED COMMUNITY BEHAVIORAL HEALTH CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oxford, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2021; 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.