Organization Active NPI

Aledade Care Solutions of Mississippi, LLC

  • Internal Medicine Physician
  • Bethesda, MD
National Provider Identifier
1386472652
Registry record updated Jul 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
ALEDADE CARE SOLUTIONS OF MISSISSIPPI, LLC
Practice address
4550 Montgomery Ave
Ste 950N
Bethesda, MD 20814-3339
Phone
(202) 803-7979
NPI assigned
Jul 26, 2024
Last updated
Jul 26, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
ALEDADE CARE SOLUTIONS LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 26, 2024

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

Authorized official

Name
Matt Tolland
Title
Vice President and Secretary
Phone
(202) 803-7979

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

4550 Montgomery Ave
Ste 950N
Bethesda, MD 20814-3339

Mailing address

4780 I 55 N Ste 100
Jackson, MS 39211-5583

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1721952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721952000000",
    "number": "1386472652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4780 I 55 N STE 100",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392115583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4550 MONTGOMERY AVE",
            "address_2": "STE 950N",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208143339",
            "telephone_number": "202-803-7979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALEDADE CARE SOLUTIONS OF MISSISSIPPI, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ALEDADE CARE SOLUTIONS LLC",
        "enumeration_date": "2024-07-26",
        "last_updated": "2024-07-26",
        "certification_date": "2024-06-20",
        "status": "A",
        "authorized_official_last_name": "TOLLAND",
        "authorized_official_first_name": "MATT",
        "authorized_official_title_or_position": "VICE PRESIDENT AND SECRETARY",
        "authorized_official_telephone_number": "202-803-7979"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethesda, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2024; 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.