Organization Active NPI

Mid-South Enhanced Cardiac Care PLLC

  • Interventional Cardiology Physician
  • Jackson, TN
National Provider Identifier
1427872829
Registry record updated Nov 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
Legal business name
MID-SOUTH ENHANCED CARDIAC CARE PLLC
Practice address
48 Medical Center Dr
Jackson, TN 38301-3947
Phone
(210) 526-9661
NPI assigned
Nov 12, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2024

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

Authorized official

Name
Mohsin Alhaddad
Title
Owner
Phone
(210) 526-9661

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RI0011X Primary

Addresses

Primary practice location

48 Medical Center Dr
Jackson, TN 38301-3947

Mailing address

327 Summar Dr
Jackson, TN 38301-3930

National Provider Directory

National Provider Directory

Locations

48 Medical Center Dr
Jackson, TN 38301
Phone (731) 423-8383

NPI Registry JSON

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

{
    "created_epoch": "1731369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731369600000",
    "number": "1427872829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "327 SUMMAR DR",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383013930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48 MEDICAL CENTER DR",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383013947",
            "telephone_number": "210-526-9661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID-SOUTH ENHANCED CARDIAC CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-12",
        "last_updated": "2024-11-12",
        "certification_date": "2024-11-12",
        "status": "A",
        "authorized_official_last_name": "ALHADDAD",
        "authorized_official_first_name": "MOHSIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-526-9661"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2024; 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.