Organization Active NPI

Oxford Centre Physician Group, P.a.

  • Group Psychotherapy Psychologist
  • Oxford, MS
National Provider Identifier
1477817526
Registry record updated Mar 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Group Psychotherapy PsychologistTaxonomy code 103TP2701X
Legal business name
OXFORD CENTRE PHYSICIAN GROUP, P.A.
Practice address
1916 University Ave
Oxford, MS 38655-4114
Phone
(662) 281-9992
Fax
(662) 281-1326
NPI assigned
Jul 3, 2012
Last updated
Mar 3, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2014

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

Authorized official

Name
Thomas Debow Fowlkes, MDNPI 1477649218
Title
President
Phone
(662) 281-9992

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Group Psychotherapy Psychologist 103TP2701X NU Primary

Addresses

Primary practice location

1916 University Ave
Oxford, MS 38655-4114

Mailing address

PO Box 3488
Dept. 05-022
Tupelo, MS 38803-3488
Phone (662) 281-9992

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1341273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393804800000",
    "number": "1477817526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3488",
            "address_2": "DEPT. 05-022",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388033488",
            "telephone_number": "662-281-9992",
            "fax_number": "662-281-1326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1916 UNIVERSITY AVE",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "386554114",
            "telephone_number": "662-281-9992",
            "fax_number": "662-281-1326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OXFORD CENTRE PHYSICIAN GROUP, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-03",
        "last_updated": "2014-03-03",
        "status": "A",
        "authorized_official_last_name": "FOWLKES",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "DEBOW",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "662-281-9992",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "103TP2701X",
            "taxonomy_group": "",
            "desc": "Psychologist, Group Psychotherapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oxford, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2014; 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.