Peterkin and Associates of Mississippi Inc

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

PETERKIN AND ASSOCIATES OF MISSISSIPPI INC

Practice address

5155 Galaxie Drive, Suite F
Jackson, MS 39206

Phone

(601) 398-3455

Fax

(769) 251-5715

NPI assigned

Feb 1, 2017

Organization subpart

No

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

Authorized official

Name

Mrs. Alice Smith, ED. D

Title

Ceo

Phone

(910) 759-9472

Specialties & licenses 1

Addresses

Tax ID family

Peterkin and Associates of Mississippi2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Peterkin and Associates of Mississippi

  • Community/Behavioral Health Agency
  • Jackson, MS
  • NPI 1316487895
  NPD tax ID

Locations

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

{
    "created_epoch": "1485907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485907200000",
    "number": "1447798293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5155 GALAXIE DRIVE, SUITE F",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "39206",
            "telephone_number": "601-398-3455",
            "fax_number": "769-251-5715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5155 GALAXIE DRIVE, SUITE F",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "39206",
            "telephone_number": "601-398-3455",
            "fax_number": "769-251-5715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETERKIN AND ASSOCIATES OF MISSISSIPPI INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-01",
        "last_updated": "2017-02-01",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "ALICE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "910-759-9472",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "ED. D"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Markedia Perryman
• Xavier Jordan Person
• Personic Mississippi PLLC
• Peterkin and Associates of Mississippi
• Peterkin and Associates of Mississippi
• Phillip Michael Peterman, MD
• Roma Bryan Peters, FNP
• Cassandra Ward Peterson
• Anthony Bedear Petro, M.D.
• Shanna B Pettie, M.D.

• Community/Behavioral Health Agency in Jackson, MS
• Providers in Jackson, MS by specialty
• Community/Behavioral Health Agency in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2017; 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.