Thomas L Purvis Jr., M.D.

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

License

05717 Issued in MS

Practice address

46 SGT Prentiss Dr
Suite 201
Natchez, MS 39120-4792

Phone

(601) 442-3701

Fax

(601) 442-4785

NPI assigned

Jul 25, 2006

Last updated

Oct 4, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Natchez Medical Foundation Inc.

  • Gynecologic Oncology Physician
  • Natchez, MS
  • NPI 1306165717
  NPD (past)
• Natchez Regional Clinic

  • Family Medicine Physician
  • Natchez, MS
  • NPI 1891982435
  NPD (past)

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349308800000",
    "number": "1427071919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 SGT PRENTISS DR",
            "address_2": "SUITE 201",
            "city": "NATCHEZ",
            "state": "MS",
            "postal_code": "391204792",
            "telephone_number": "601-442-3701",
            "fax_number": "601-442-4785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46 SGT PRENTISS DR",
            "address_2": "SUITE 201",
            "city": "NATCHEZ",
            "state": "MS",
            "postal_code": "391204792",
            "telephone_number": "601-442-3701",
            "fax_number": "601-442-4785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PURVIS",
        "first_name": "THOMAS",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2012-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "MS",
            "license": "05717",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00115423",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1104604",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Premier Health & Wellness Clinic LLC
• Premier Imaging Center, LLC
• Premier Personal Care & Respite Services
• Rachel Kimberly Primm
• Robert Nixon Prospere, DMD
• Quality Home Oxygen, Inc.
• Radiology Associates of Natchez, P.a.
• Frederick Paul Ragan, MD
• Shaunta Shanell Randall, (BS) PSYCHOLOGY
• Rankin Eye Professionals

• Gynecology Physician in Natchez, MS
• Providers in Natchez, MS by specialty
• Gynecology Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2012; 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.