NPIMap

Organization Active NPI

South Pike School District

Doing business as Eva Gordon Kids Health

  • School Registered Nurse
  • Magnolia, MS
National Provider Identifier
1427260611
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Registered NurseTaxonomy code 163WS0200X
License
R869794 Issued in MS
Legal business name
SOUTH PIKE SCHOOL DISTRICT
Doing business as
Eva Gordon Kids Health
Practice address
1175 North Clark St
Magnolia, MS 39652
Phone
(601) 783-5983
Fax
(601) 783-2055
NPI assigned
May 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Bill Gunnell
Title
District Superintendent
Phone
(601) 783-3742

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 163WS0200X R869794 MS Primary

Addresses

Primary practice location

1175 North Clark St
Magnolia, MS 39652

Mailing address

1175 North Clark St
Magnolia, MS 39652
Phone (601) 783-5983

Other identifiers 1

IdentifierTypeStateIssuer
03489201MedicaidMS

Other names 1

  • Eva Gordon Kids Health Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Eva Gordon Kids Health3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1427260611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1175 NORTH CLARK ST",
            "city": "MAGNOLIA",
            "state": "MS",
            "postal_code": "39652",
            "telephone_number": "601-783-5983",
            "fax_number": "601-783-2055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1175 NORTH CLARK ST",
            "city": "MAGNOLIA",
            "state": "MS",
            "postal_code": "39652",
            "telephone_number": "601-783-5983",
            "fax_number": "601-783-2055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH PIKE SCHOOL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GUNNELL",
        "authorized_official_first_name": "BILL",
        "authorized_official_title_or_position": "DISTRICT SUPERINTENDENT",
        "authorized_official_telephone_number": "601-783-3742",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, School",
            "state": "MS",
            "license": "R869794",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03489201",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eva Gordon Kids Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Magnolia, MS

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.

Verify at the official NPI Registry.