Active NPI
The Women'S Clinic of New Albany, P.C.
- Obstetrics & Gynecology Physician
- New Albany, MS
National Provider Identifier
1417093220
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 10037
- Legal business name
- THE WOMEN'S CLINIC OF NEW ALBANY, P.C.
- Practice address
- 460 W Bankhead St
New Albany, MS 38652-3319 - Phone
- (662) 534-4783
- Fax
- (662) 534-2653
- NPI assigned
- Jan 29, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. David Joe Williams, M.D.
- Title
- President
- Phone
- (662) 534-4783
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 10037 | MS | Primary |
Addresses
Primary practice location
460 W Bankhead St
New Albany, MS 38652-3319
Mailing address
460 W Bankhead St
New Albany, MS 38652-3319
Phone (662) 534-4783
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00014461 | Medicaid | MS | |
| 1285677310 | Other | PERSONAL NPI |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170028800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1287446400000",
"number": "1417093220",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "460 W BANKHEAD ST",
"city": "NEW ALBANY",
"state": "MS",
"postal_code": "386523319",
"telephone_number": "662-534-4783",
"fax_number": "662-534-2653"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "460 W BANKHEAD ST",
"city": "NEW ALBANY",
"state": "MS",
"postal_code": "386523319",
"telephone_number": "662-534-4783",
"fax_number": "662-534-2653"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE WOMEN'S CLINIC OF NEW ALBANY, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-29",
"last_updated": "2010-10-19",
"status": "A",
"authorized_official_last_name": "WILLIAMS",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "JOE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "662-534-4783",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": "MS",
"license": "10037",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00014461",
"state": "MS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PERSONAL NPI",
"identifier": "1285677310",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in New Albany, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.