Mississippi Medical Group, Inc

Primary specialty

Obesity Medicine (Preventive Medicine) PhysicianTaxonomy code 2083B0002X

Legal business name

MISSISSIPPI MEDICAL GROUP, INC

Practice address

101 Webster Cir Ste 300
Madison, MS 39110-7789

Phone

(601) 573-2294

Fax

(601) 391-1951

NPI assigned

Apr 21, 2023

Last updated

Aug 24, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Miss Teresa Graham

Title

President/Manager

Phone

(601) 500-1268

Specialties & licenses 1

Addresses

Other names 1

• N/A Other name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Dana Arender Davis, FNP-C

  • Family Nurse Practitioner
  • Jackson, MS
  • NPI 1134966344
  NPD

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

{
    "created_epoch": "1682035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692835200000",
    "number": "1447947171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 WEBSTER CIR STE 300",
            "city": "MADISON",
            "state": "MS",
            "postal_code": "391107789",
            "telephone_number": "601-348-8988",
            "fax_number": "601-391-1951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 WEBSTER CIR STE 300",
            "city": "MADISON",
            "state": "MS",
            "postal_code": "391107789",
            "telephone_number": "601-573-2294",
            "fax_number": "601-391-1951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSISSIPPI MEDICAL GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-21",
        "last_updated": "2023-08-24",
        "certification_date": "2023-08-24",
        "status": "A",
        "authorized_official_last_name": "GRAHAM",
        "authorized_official_first_name": "TERESA",
        "authorized_official_title_or_position": "PRESIDENT/MANAGER",
        "authorized_official_telephone_number": "601-500-1268",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "2083B0002X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Obesity Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "N/A",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "N/A",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Mississippi Center for Advanced Medicine, PC
• Mississippi CVS Pharmacy, L.L.C (CVS Pharmacy #04993)
• Mississippi CVS Pharmacy, L.L.C. (CVS Pharmacy # 08310)
• Mississippi Ear, Nose and Throat Surgical Associates, P.C.
• Mississippi Eye Group, LLC (Mississippi Eye Group)
• Mississippi Nurse Practitioners Inc
• Mississippi Premier Plastic Surgery, PLLC
• Mississippi Retina Associates,PLLC
• Mississippi Vein Institute
• Elizabeth Wyatt Mitchell, M.D.

• Obesity Medicine (Preventive Medicine) Physician in Madison, MS
• Providers in Madison, MS by specialty
• Obesity Medicine (Preventive Medicine) Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2023; 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.