NPIMap

Organization Active NPI

New Albany Medical Clinic

  • Primary Care Clinic/Center
  • New Albany, MS
National Provider Identifier
1417347162
Registry record updated Feb 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
R874900 Issued in MS
Legal business name
NEW ALBANY MEDICAL CLINIC
Practice address
400 Doctors Dr
New Albany, MS 38652-3109
Phone
(662) 534-5036
Fax
(662) 534-9696
NPI assigned
Feb 3, 2015
Last updated
Feb 3, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2015

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

Authorized official

Name
Kitty Fooshee
Title
Office Manager
Phone
(662) 534-5036

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X R874900 MS Primary

Addresses

Primary practice location

400 Doctors Dr
New Albany, MS 38652-3109

Mailing address

400 Doctors Dr
New Albany, MS 38652-3109
Phone (662) 534-5036

National Provider Directory

National Provider Directory
Tax ID family
West Tupelo Family Medi51 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1422921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422921600000",
    "number": "1417347162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 DOCTORS DR",
            "city": "NEW ALBANY",
            "state": "MS",
            "postal_code": "386523109",
            "telephone_number": "662-534-5036",
            "fax_number": "662-534-9696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 DOCTORS DR",
            "city": "NEW ALBANY",
            "state": "MS",
            "postal_code": "386523109",
            "telephone_number": "662-534-5036",
            "fax_number": "662-534-9696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW ALBANY MEDICAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-03",
        "last_updated": "2015-02-03",
        "status": "A",
        "authorized_official_last_name": "FOOSHEE",
        "authorized_official_first_name": "KITTY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "662-534-5036"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "MS",
            "license": "R874900",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Feb 3, 2015; 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.