Active NPI
Baptist Memorial Health Services, Inc. of Mississippi
- Internal Medicine Physician
- Columbus, MS
National Provider Identifier
1497879076
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- BAPTIST MEMORIAL HEALTH SERVICES, INC. OF MISSISSIPPI
- Practice address
- 2520 5TH St N
Columbus, MS 39705-2008 - Phone
- (662) 244-2042
- Fax
- (662) 244-2041
- NPI assigned
- Mar 19, 2007
- Last updated
- Jul 16, 2010
- Organization subpart
- Yes
- Parent organization
- BAPTIST MEMORIAL HEALTH SERVICES, INC. OF MISSISSIPPI
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Donald R Pounds
- Title
- Cfo Senior Vice President
- Phone
- (901) 227-7463
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | NU | ||
| Family Nurse Practitioner | 363LF0000X | NU | ||
| Internal Medicine Physician | 207R00000X | NU | Primary | |
| Nephrology Physician | 207RN0300X | NU | ||
| Hospitalist Physician | 208M00000X | NU |
Addresses
Primary practice location
2520 5TH St N
Columbus, MS 39705-2008
Mailing address
350 N Humphreys Blvd
Memphis, TN 38120-2177
Phone (901) 227-7463
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00355585 | Medicaid | MS |
National Provider Directory
National Provider Directory- Part of
- BMHS Inc of Ms
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174262400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1279238400000",
"number": "1497879076",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "350 N HUMPHREYS BLVD",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381202177",
"telephone_number": "901-227-7463",
"fax_number": "901-227-5699"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2520 5TH ST N",
"city": "COLUMBUS",
"state": "MS",
"postal_code": "397052008",
"telephone_number": "662-244-2042",
"fax_number": "662-244-2041"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BAPTIST MEMORIAL HEALTH SERVICES, INC. OF MISSISSIPPI",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "BAPTIST MEMORIAL HEALTH SERVICES, INC. OF MISSISSIPPI",
"enumeration_date": "2007-03-19",
"last_updated": "2010-07-16",
"status": "A",
"authorized_official_last_name": "POUNDS",
"authorized_official_first_name": "DONALD",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "CFO SENIOR VICE PRESIDENT",
"authorized_official_telephone_number": "901-227-7463"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00355585",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Columbus, MS
- Baptist Memorial Health Services Inc of Mississippi
- Baptist Memorial Health Services, Inc. of Mississippi
- Baptist Memorial Health Services, Inc. of Mississippi
- Baptist Memorial Health Services, Inc. of Mississippi
- Baptist Memorial Health Services, Inc. of Mississippi
- Baptist Memorial Health Services, Inc. of Mississippi
- Baptist Memorial Health Services, Inc. of Mississippi
- Baptist Memorial Home Care Inc (Baptist Hospice-Golden Triangle)
- Baptist Memorial Hospital - Golden Triangle Inc.
- Baptist Memorial Hospital - Golden Triangle Inc. (BMH Crna)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 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.