Individual provider Active NPI

Nobel Dzorgbenyah Attipoe, MD

  • Obstetrics & Gynecology Physician
  • Jackson, MS
National Provider Identifier
1497864169
Registry record updated Aug 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
19183 Issued in MS
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

Updated by the provider on Aug 1, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 Other name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071219000120 MS Practitioner - Obstetrics/Gynecology 0244297778 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
19183MSMDObstetrics & Gynecology Physician
226843NYMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Central Mississippi Civic Improvement Association, Inc. CurrentSince Aug 12, 2023 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.

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

Verify at the official NPI Registry.