Rlgmdpa Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

09966 Issued in MS

Legal business name

RLGMDPA INC

Practice address

1901 Mission 66
Vicksburg, MS 39180-3711

Phone

(601) 636-0097

Fax

(601) 629-9969

NPI assigned

Dec 21, 2006

Last updated

Apr 16, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Robert Lee Giffin, M.D.NPI 1376584052

Title

Adm

Phone

(601) 636-0097

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

Practitioners 13

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.

• Robert L Giffin, MD

  • Family Medicine Physician
  • Vicksburg, MS
  • NPI 1376584052
  Medicare reassignment NPD Authorized official
• John R Barnes, MD

  • Family Medicine Physician
  • Vicksburg, MS
  • NPI 1205865680
  NPD
• Robert Michael Cannon, M.D.

  • Family Medicine Physician
  • Vicksburg, MS
  • NPI 1215373139
  NPD
• Susan A Chiarito, MD

  • Family Medicine Physician
  • Vicksburg, MS
  • NPI 1871534008
  NPD
• Jonathan Grey Flowers, D.O.

  • Family Medicine Physician
  • Vicksburg, MS
  • NPI 1649659731
  NPD
• John R Ford, MS

  • Family Medicine Physician
  • Vicksburg, MS
  • NPI 1356363915
  NPD
• Denesia Giffin, NP

  • Nurse Practitioner
  • Vicksburg, MS
  • NPI 1568490241
  NPD
• Christina R Hossley, NP

  • Family Nurse Practitioner
  • Vicksburg, MS
  • NPI 1770863631
  NPD
• Carlos Alberto Latorre, M.D.

  • Family Medicine Physician
  • Vicksburg, MS
  • NPI 1104088152
  NPD
• Robert C Masterson, DO

  • Family Medicine Physician
  • Vicksburg, MS
  • NPI 1053358853
  NPD
• Kay K McDaniel, FNP

  • Family Nurse Practitioner
  • Vicksburg, MS
  • NPI 1538100144
  NPD
• Brandon Mizell, M.D.

  • Family Medicine Physician
  • Vicksburg, MS
  • NPI 1649624693
  NPD

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208304000000",
    "number": "1497819726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 MISSION 66",
            "city": "VICKSBURG",
            "state": "MS",
            "postal_code": "391803711",
            "telephone_number": "601-636-0097",
            "fax_number": "601-629-9969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 MISSION 66",
            "city": "VICKSBURG",
            "state": "MS",
            "postal_code": "391803711",
            "telephone_number": "601-636-0097",
            "fax_number": "601-629-9969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RLGMDPA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-21",
        "last_updated": "2008-04-16",
        "status": "A",
        "authorized_official_last_name": "GIFFIN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "ADM",
        "authorized_official_telephone_number": "601-636-0097",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MS",
            "license": "09966",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00114253",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• River Region Health System
• River Region Health System
• Riverbend Eyecare, P.a.
• Riverbend Healthcare PLLC
• Riverview Behavior Health Services (Michelle Johnson)
• Gregory Scott Robbins, PT, DPT
• Robert a. Sadler DDS, PA
• Robert C Masterson DO PA Inc
• Robert C. Clingan, MD, Dermatology
• Robert M Abraham, D.D.S., P.a.

• Family Medicine Physician in Vicksburg, MS
• Providers in Vicksburg, MS by specialty
• Family Medicine Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 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.