Department of Veterans Affair G.V. (Sonny) Montgomery VA Medical Cente

Primary specialty

Military HospitalTaxonomy code 286500000X

License

P321453 Issued in MS

Legal business name

DEPARTMENT OF VETERANS AFFAIR G.V. (SONNY) MONTGOMERY VA MEDICAL CENTE

Practice address

5942 Westmore Dr
Jackson, MS 39206-2209

Phone

(601) 366-1739

NPI assigned

Jan 1, 2008

Organization subpart

No

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

Authorized official

Name

Mrs. Amy Wheat, RN, BSN

Title

Nurse Recruiter

Phone

(601) 368-3873

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1199145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199145600000",
    "number": "1497930184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5942 WESTMORE DR",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392062209",
            "telephone_number": "601-366-1739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5942 WESTMORE DR",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392062209",
            "telephone_number": "601-366-1739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEPARTMENT OF VETERANS AFFAIR G.V. (SONNY) MONTGOMERY VA MEDICAL CENTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-01",
        "last_updated": "2008-01-01",
        "status": "A",
        "authorized_official_last_name": "WHEAT",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "NURSE RECRUITER",
        "authorized_official_telephone_number": "601-368-3873",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN, BSN"
    },
    "taxonomies": [
        {
            "code": "286500000X",
            "taxonomy_group": "",
            "desc": "Military Hospital",
            "state": "MS",
            "license": "P321453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elena Dent, RDN, LDN, CDCES
• Jennifer Denton
• Julie Waddle Denton, MD
• Daniel Deornellas, PHARM.D.
• Stephanie Depaepe
• Department of Veterans Affairs
• Department of Veterans Affairs
• Dependable Source Corp. of Ms
• Dept. of Veteran Affairs
• Mattie Derivaux

• Military Hospital in Jackson, MS
• Providers in Jackson, MS by specialty
• Military Hospital in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 1, 2008; 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.