Nichols Outpatient Facial Surgery

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

NICHOLS OUTPATIENT FACIAL SURGERY

Practice address

266 Katherine Dr
Flowood, MS 39232-8801

Phone

(601) 420-3223

Fax

(601) 420-3054

NPI assigned

Mar 22, 2019

Organization subpart

Yes

Parent organization

ORAL AND FACIAL SURGERY OF MISSISSIPPIAs reported in NPPES

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

Authorized official

Name

Dr. Michael R Nichols, D.M.D, M.D.

Title

Owner

Phone

(601) 420-3223

Specialties & licenses 1

Addresses

Part of

Oral and Facial Surg

Locations

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.

• Oral and Facial Surgery of Mississippi

  • Oral and Maxillofacial Surgery Clinic/Center
  • Flowood, MS
  • NPI 1851543250
  NPPES parent name

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

{
    "created_epoch": "1553212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1386104685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "266 KATHERINE DR",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392328801",
            "telephone_number": "601-420-3223",
            "fax_number": "601-420-3054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "266 KATHERINE DR",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392328801",
            "telephone_number": "601-420-3223",
            "fax_number": "601-420-3054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICHOLS OUTPATIENT FACIAL SURGERY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ORAL AND FACIAL SURGERY OF MISSISSIPPI",
        "enumeration_date": "2019-03-22",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "NICHOLS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-420-3223",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D, M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Newsouth Neurospine LLC
• Newsouth Neurospine, LLC
• Newsouth Neurospine, LLC.
• Next Step Up Corp
• Next Step Up Corp
• Kimberly P Nichols, MD
• Noble Health Services, Inc.
• Michael Brian Nobles, CRNA
• Webbie A Nolden
• Lindsey Thurmon Norris, M.D.

• Ambulatory Surgical Clinic/Center in Flowood, MS
• Providers in Flowood, MS by specialty
• Ambulatory Surgical Clinic/Center in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.