Active NPI
Evelyn HIV World Consult
- Durable Medical Equipment & Medical Supplies
- Southaven, MS
National Provider Identifier
1467722652
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Educator | 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
National Provider Directory
National Provider DirectoryNPI 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.