Organization Active NPI

Else Tracy, M.D., Inc.

  • Psychiatry Physician
  • Pascagoula, MS
National Provider Identifier
1477869055
Registry record updated Aug 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MS08472 Issued in MS
Legal business name
ELSE TRACY, M.D., INC.
Practice address
5009 Telephone Rd
Pascagoula, MS 39567-1832
Phone
(228) 762-7422
Fax
(228) 762-7423
NPI assigned
Aug 20, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2010

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

Authorized official

Name
Dr. Else Tracy, M.D.
Title
President
Phone
(228) 762-7422

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X MS08472 MS Primary

Addresses

Primary practice location

5009 Telephone Rd
Pascagoula, MS 39567-1832

Mailing address

5009 Telephone Rd
Pascagoula, MS 39567-1832
Phone (228) 762-7422

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1282262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282262400000",
    "number": "1477869055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5009 TELEPHONE RD",
            "city": "PASCAGOULA",
            "state": "MS",
            "postal_code": "395671832",
            "telephone_number": "228-762-7422",
            "fax_number": "228-762-7423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5009 TELEPHONE RD",
            "city": "PASCAGOULA",
            "state": "MS",
            "postal_code": "395671832",
            "telephone_number": "228-762-7422",
            "fax_number": "228-762-7423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELSE TRACY, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-20",
        "last_updated": "2010-08-20",
        "status": "A",
        "authorized_official_last_name": "TRACY",
        "authorized_official_first_name": "ELSE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "228-762-7422",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MS",
            "license": "MS08472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pascagoula, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2010; 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.