NPIMap

Organization Active NPI

G.V. Sonny Montgomery Medical Center

  • Military Hospital
  • Jackson, MS
National Provider Identifier
1407290703
Registry record updated Apr 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Military HospitalTaxonomy code 286500000X
License
RCP4433 Issued in MS
Legal business name
G.V. SONNY MONTGOMERY MEDICAL CENTER
Practice address
425 Beasley Rd Apt K5
Jackson, MS 39206-2929
Phone
(601) 362-4471
NPI assigned
Apr 18, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2013

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

Authorized official

Name
Mrs. Tamatha Tenille Watson, RRT
Title
Registered Respiratory Therapist
Phone
(601) 362-4471

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Military Hospital 286500000X RCP4433 MS Primary

Addresses

Primary practice location

425 Beasley Rd Apt K5
Jackson, MS 39206-2929

Mailing address

1500 E Woodrow Wilson Ave
Jackson, MS 39216-5116
Phone (601) 362-4471

National Provider Directory

National Provider Directory
Tax ID family
Department of Veterans Affairs5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

NPI Registry JSON

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

{
    "created_epoch": "1366243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366243200000",
    "number": "1407290703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 E WOODROW WILSON AVE",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392165116",
            "telephone_number": "601-362-4471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 BEASLEY RD APT K5",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392062929",
            "telephone_number": "601-362-4471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "G.V. SONNY MONTGOMERY MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-18",
        "last_updated": "2013-04-18",
        "status": "A",
        "authorized_official_last_name": "WATSON",
        "authorized_official_first_name": "TAMATHA",
        "authorized_official_middle_name": "TENILLE",
        "authorized_official_title_or_position": "REGISTERED RESPIRATORY THERAPIST",
        "authorized_official_telephone_number": "601-362-4471",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RRT"
    },
    "taxonomies": [
        {
            "code": "286500000X",
            "taxonomy_group": "",
            "desc": "Military Hospital",
            "state": "MS",
            "license": "RCP4433",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2013; 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.