Organization Active NPI

Baptist Memorial Health Services, Inc. of Mississippi

  • Internal Medicine Physician
  • Columbus, MS
National Provider Identifier
1497879076
Registry record updated Jul 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
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, 2010By the provider in NPPES
Organization subpart
Yes
Parent organization
BAPTIST MEMORIAL HEALTH SERVICES, INC. OF MISSISSIPPIAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 16, 2010

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
00355585MedicaidMS

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

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.

Verify at the official NPI Registry.