Organization Active NPI

Evelyn HIV World Consult

  • Durable Medical Equipment & Medical Supplies
  • Southaven, MS
National Provider Identifier
1467722652
Registry record updated Mar 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
EVELYN HIV WORLD CONSULT
Practice address
2072 Custer Dr
Southaven, MS 38671-5018
Phone
(800) 781-1956
Fax
(888) 690-1333
NPI assigned
Jan 5, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2012

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

Authorized official

Name
Mrs. Evelyn C Dobson
Title
Executive Administrator
Phone
(800) 781-1956

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Health EducatorGroup: 193400000X SINGLE SPECIALTY GROUP 174H00000X
Durable Medical Equipment & Medical Supplies 332B00000X MS
Durable Medical Equipment & Medical Supplies 332B00000X Primary
Durable Medical Equipment & Medical Supplies 332B00000X TN

Addresses

Primary practice location

2072 Custer Dr
Southaven, MS 38671-5018

Mailing address

2072 Custer Dr
Southaven, MS 38671-5018
Phone (800) 781-1956

Other names 1

  • EVELYN DOBSON Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1325721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332201600000",
    "number": "1467722652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2072 CUSTER DR",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386715018",
            "telephone_number": "800-781-1956",
            "fax_number": "888-690-1333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2072 CUSTER DR",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386715018",
            "telephone_number": "800-781-1956",
            "fax_number": "888-690-1333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVELYN HIV WORLD CONSULT",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-05",
        "last_updated": "2012-03-20",
        "status": "A",
        "authorized_official_last_name": "DOBSON",
        "authorized_official_first_name": "EVELYN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "EXECUTIVE ADMINISTRATOR",
        "authorized_official_telephone_number": "800-781-1956",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MS",
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TN",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EVELYN DOBSON",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Southaven, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 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.