Active NPI
Highway 15 Medical Clinic PA
- Rural Health Clinic/Center
- New Albany, MS
National Provider Identifier
1417949058
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rural Health Clinic/Center
- Legal business name
- HIGHWAY 15 MEDICAL CLINIC PA
- Practice address
- 124 Highway 15 S
New Albany, MS 38652-5225 - Phone
- (662) 534-4706
- Fax
- (662) 534-8065
- NPI assigned
- Aug 19, 2005
- Last updated
- Aug 22, 2020
- 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. James Lee Thornton III, M.D.
- Title
- President
- Phone
- (662) 534-4706
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rural Health Clinic/Center | 261QR1300X | Primary |
Addresses
Primary practice location
124 Highway 15 S
New Albany, MS 38652-5225
Mailing address
124 Highway 15 S
New Albany, MS 38652-5225
Phone (662) 534-4706
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 09016044 | Medicaid | MS |
National Provider Directory
National Provider DirectoryLocations
124 State Highway 15 S
New Albany, MS 38652
Phone (601) 534-4706
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124409600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1417949058",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "124 HIGHWAY 15 S",
"city": "NEW ALBANY",
"state": "MS",
"postal_code": "386525225",
"telephone_number": "662-534-4706",
"fax_number": "662-534-8065"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "124 HIGHWAY 15 S",
"city": "NEW ALBANY",
"state": "MS",
"postal_code": "386525225",
"telephone_number": "662-534-4706",
"fax_number": "662-534-8065"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HIGHWAY 15 MEDICAL CLINIC PA",
"organizational_subpart": "NO",
"enumeration_date": "2005-08-19",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "THORNTON",
"authorized_official_first_name": "JAMES",
"authorized_official_middle_name": "LEE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "662-534-4706",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "III",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "261QR1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rural Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "09016044",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New Albany, MS
- Megan M Harrison, APN
- Bradley N Hastings, PHARMD
- Healthlink Medical Group
- Heart Attack and Stroke Prevention Center of New Albany, LLC (Heart Attack and Stroke Prevention Center)
- Anna Higgins, RDN
- Alex T Hill, NP-C
- Angela Holloway, FNP
- Homecare Hospice North, LLC (Legacy Hospice of the South)
- Hometown Express Care, P.C.
- Hometown Healthcare Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.