Dykes Medical PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MS15940 Issued in MS

Legal business name

DYKES MEDICAL PLLC

Practice address

101 Mills St
Brookhaven, MS 39601-2521

Phone

(601) 833-5608

Fax

(601) 823-6777

NPI assigned

Jan 2, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Paul Gerrit Dykes, MD

Title

Sole Member

Phone

(601) 695-9464

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1514851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525219200000",
    "number": "1477060218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 LOBLOLLY LN NE",
            "city": "BROOKHAVEN",
            "state": "MS",
            "postal_code": "396019217",
            "telephone_number": "601-695-9464",
            "fax_number": "601-823-6777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 MILLS ST",
            "city": "BROOKHAVEN",
            "state": "MS",
            "postal_code": "396012521",
            "telephone_number": "601-833-5608",
            "fax_number": "601-823-6777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYKES MEDICAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-02",
        "last_updated": "2018-05-02",
        "status": "A",
        "authorized_official_last_name": "DYKES",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "GERRIT",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "601-695-9464",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "MS",
            "license": "MS15940",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00124038",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Justin Douglas
• Dr Daniel J Patti D.M.D., PA
• Candace Laird Duckworth, FNP-C
• Ashton M Duet, FNP-BC
• Joel David Duff, MD
• Paul G Dykes, MD
• Thomas Geoffrey Eade, RPSGT, CCSH
• Derek Ebbers
• Jessica Eberhard
• Justin Ross Estess, M.D.

• Internal Medicine Physician in Brookhaven, MS
• Providers in Brookhaven, MS by specialty
• Internal Medicine Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2018; 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.