North Mississippi Pulmonology Clinic Inc

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

07824 Issued in MS

Legal business name

NORTH MISSISSIPPI PULMONOLOGY CLINIC INC

Practice address

100 Hospital St
#300
Booneville, MS 38829-3354

Phone

(662) 728-2147

Fax

(662) 720-3050

NPI assigned

May 1, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

David G Chase, MDNPI 1588623532

Title

Owner

Phone

(662) 728-2147

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• David G Chase Sr., M.D.

  • Pulmonary Disease Physician
  • Booneville, MS
  • NPI 1588623532
  Authorized official Same address or phone

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1376764167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 HOSPITAL ST",
            "address_2": "#300",
            "city": "BOONEVILLE",
            "state": "MS",
            "postal_code": "388293354",
            "telephone_number": "662-728-2147",
            "fax_number": "662-720-3050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 HOSPITAL ST",
            "address_2": "#300",
            "city": "BOONEVILLE",
            "state": "MS",
            "postal_code": "388293354",
            "telephone_number": "662-728-2147",
            "fax_number": "662-720-3050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH MISSISSIPPI PULMONOLOGY CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHASE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "662-728-2147",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "MS",
            "license": "07824",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carol Sue Nichols, MA
• North Miss Ambulance Service Inc
• North Mississippi Medical Center
• North Mississippi Medical Clinics Inc (Booneville Medical Clinic and Urgent Care)
• North Mississippi Primary Health Care, Inc.
• Northeast Mississippi Community Services, Inc..
• Northeast Mississippi Inpatient Services, LLC
• Northeast Mississippi Planning and Development District
• Northeast Mississippi Planning and Development District
• Northeast Ms Internal Medicine PC

• Pulmonary Disease Physician in Booneville, MS
• Providers in Booneville, MS by specialty
• Pulmonary Disease Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.