NPIMap

Organization Active NPI

Magee Benevolent Association D/B/a Magee General Hospital

  • Nurse Practitioner
  • Magee, MS
National Provider Identifier
1487819934
Registry record updated Jul 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
R678562 Issued in MS
Legal business name
MAGEE BENEVOLENT ASSOCIATION D/B/A MAGEE GENERAL HOSPITAL
Practice address
376A Simpson Highway 149
Magee, MS 39111-3409
Phone
(601) 849-5321
Fax
(601) 849-7205
NPI assigned
Jul 24, 2008
Last updated
Jul 24, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
MAGEE BENEVOLENT ASSN D/B/A MAGEE GENERAL HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 24, 2008

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

Authorized official

Name
Mrs. Althea H Crumpton
Title
C E O
Phone
(601) 849-5070

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363AM0700X PA00024 MS
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X R678562 MS Primary

Addresses

Primary practice location

376A Simpson Highway 149
Magee, MS 39111-3409

Mailing address

376A Simpson Highway 149
Magee, MS 39111-3409
Phone (601) 849-5321

Other names 1

  • MGH CLINIC Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040205000400 MS Part B Supplier - Clinic/Group Practice 3678466463 Receives reassigned benefits from 87 practitioners
10 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Magee, MS; Mize, MS; Raleigh, MS; Taylorsville, MS

Other NPIs on the same Medicare enrollment 10

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
Magee Benevolent Association

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/magee-b67ced6e

NPI Registry JSON

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

{
    "created_epoch": "1216857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216857600000",
    "number": "1487819934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "376A SIMPSON HIGHWAY 149",
            "city": "MAGEE",
            "state": "MS",
            "postal_code": "391113409",
            "telephone_number": "601-849-5321",
            "fax_number": "601-849-7205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "376A SIMPSON HIGHWAY 149",
            "city": "MAGEE",
            "state": "MS",
            "postal_code": "391113409",
            "telephone_number": "601-849-5321",
            "fax_number": "601-849-7205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGEE BENEVOLENT ASSOCIATION D/B/A MAGEE GENERAL HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MAGEE BENEVOLENT ASSN D/B/A MAGEE GENERAL HOSPITAL",
        "enumeration_date": "2008-07-24",
        "last_updated": "2008-07-24",
        "status": "A",
        "authorized_official_last_name": "CRUMPTON",
        "authorized_official_first_name": "ALTHEA",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "C E O",
        "authorized_official_telephone_number": "601-849-5070",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Medical",
            "state": "MS",
            "license": "PA00024",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": "MS",
            "license": "R678562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MGH CLINIC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Magee, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.