Fillingane Medical Clinic, PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

11114 Issued in MS

Legal business name

FILLINGANE MEDICAL CLINIC, PA

Practice address

1021 N Flowood Drive
Flowood, MS 39232-9533

Phone

(601) 664-2424

Fax

(601) 664-6675

NPI assigned

Nov 1, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Freida L Fillingane

Title

Office Manager

Phone

(601) 906-4175

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Sam Fillingane DO Former legal business name

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• James Williams Bailey, M.D.

  • Military Health Care Provider
  • Jackson, MS
  • NPI 1881809788
  NPD (past)
• Charles Samuel Fillingane, DO

  • Family Medicine Physician
  • Hattiesburg, MS
  • NPI 1346261195
  NPD (past)
• Stephen N Luker, DO

  • Family Medicine Physician
  • Dardanelle, AR
  • NPI 1730287004
  NPD (past)

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296172800000",
    "number": "1386721546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14153",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392364153",
            "telephone_number": "601-664-2424",
            "fax_number": "601-664-6675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1021 N FLOWOOD DRIVE",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392329533",
            "telephone_number": "601-664-2424",
            "fax_number": "601-664-6675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FILLINGANE MEDICAL CLINIC, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2011-01-28",
        "status": "A",
        "authorized_official_last_name": "FILLINGANE",
        "authorized_official_first_name": "FREIDA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "601-906-4175",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MS",
            "license": "11114",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00116048",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sam Fillingane DO",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Rose Mary Favre, LCSW
• Kayla Nicole Felker, LCSW
• Lee Michael Ferguson, M.D.
• Candi Marie Ferriss
• Jessica Dawn Fielder, R.K.T.
• Brittany Michelle Fitzgerald, FNP-C
• Melissa Easley Flanagin, NNP
• Amy Elizabeth Flischel, MD
• Carrie Rhianne Flowers, CFNP
• William Craig Flowers, M.D.

• Family Medicine Physician in Flowood, MS
• Providers in Flowood, MS by specialty
• Family Medicine Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2011; 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.