Active NPI
Nobel Dzorgbenyah Attipoe, MD
- Obstetrics & Gynecology Physician
- Jackson, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 19183
- Practice address
- 3502 W. Northside Drive
Jackson, MS 39213 - Phone
- (601) 362-5321
- Fax
- (601) 362-5321
- NPI assigned
- Aug 29, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 226843 | NY | |
| Obstetrics & Gynecology Physician | 207V00000X | 19183 | MS | Primary |
Addresses
Primary practice location
3502 W. Northside Drive
Jackson, MS 39213
Mailing address
3502 W. Northside Drive
Jackson, MS 39213
Phone (601) 362-5321
Other names 1
- Dr. Dzorgbenyah Nobel Attipoe
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Temple University School of Medicine, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
129 White Oak St
Utica, MS 39175-8803
Phone (601) 885-6021
3502 W Northside Dr
Jackson, MS 39213-4454
Phone (601) 362-5321
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19183 | MS | MD | Obstetrics & Gynecology Physician |
| 226843 | NY | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Mississippi Civic Improvement Association, Inc. | Current | Accepting new patients | |
| Mahendra G Amin MD PC | Obstetrics & Gynecology | Past | Accepting new patients |
| Mid-Hudson Family Health Institute | Past | Accepting new patients |
Locations
550 Caldwell Dr
Hazlehurst, MS 39083
Phone (601) 894-1448
3502 W Northside Dr
Jackson, MS 39213
Phone (601) 982-1625
350 W Woodrow Wilson Ave
Jackson, MS 39213
Phone (601) 364-2666
129 White Oak St
Utica, MS 39175
Phone (601) 885-6021
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Jackson Hinds Comprehensiv Health Center
- Federally Qualified Health Center (FQHC)
- Jackson, MS
- NPI 1134151442
-
dba Jackson Hinds Comprehensive Health Center
- Federally Qualified Health Center (FQHC)
- Jackson, MS
- NPI 1912260522
-
- Obstetrics & Gynecology Physician
- Douglas, GA
- NPI 1245628809
-
- Family Medicine Physician
- New Paltz, NY
- NPI 1326093642
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1217548800000",
"number": "1497864169",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3502 W. NORTHSIDE DRIVE",
"city": "JACKSON",
"state": "MS",
"postal_code": "39213",
"telephone_number": "601-362-5321",
"fax_number": "601-362-5321"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3502 W. NORTHSIDE DRIVE",
"city": "JACKSON",
"state": "MS",
"postal_code": "39213",
"telephone_number": "601-362-5321",
"fax_number": "601-362-5321"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ATTIPOE",
"first_name": "NOBEL",
"middle_name": "DZORGBENYAH",
"name_prefix": "Mr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-29",
"last_updated": "2008-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "NY",
"license": "226843",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "MS",
"license": "19183",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DZORGBENYAH",
"last_name": "ATTIPOE",
"middle_name": "NOBEL",
"prefix": "DR.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Jackson, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.