JJL Care Center of Mississippi, Inc.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

JJL CARE CENTER OF MISSISSIPPI, INC.

Practice address

4209 Lakeland Dr Ste 374
Flowood, MS 39232-9212

Phone

(601) 454-8311

NPI assigned

Dec 3, 2008

Last updated

Dec 3, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Charles N Crenshaw, M.D.

Title

Owner

Phone

(601) 454-8311

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1228262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228262400000",
    "number": "1497990576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4209 LAKELAND DR STE 374",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392329212",
            "telephone_number": "601-454-8311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4209 LAKELAND DR STE 374",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392329212",
            "telephone_number": "601-454-8311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JJL CARE CENTER OF MISSISSIPPI, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-03",
        "last_updated": "2008-12-03",
        "status": "A",
        "authorized_official_last_name": "CRENSHAW",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-454-8311",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Benjamin Thomas Jeffcoat, MD
• Camille J Jeffcoat, M.D.
• Christy Diane Jenkins, PHARMD
• Robert Lee Jennings, PHARMD
• Carolyn J Jimmerson, FNP-C
• Elizabeth Joachim
• John Elgin Wilkaitis, MD, Ms, PLLC
• Cindy Miles Johnson, M.S.
• Deidre Johnson, NP-C
• Emily Brewer Johnson, D.O.

• Internal Medicine Physician in Flowood, MS
• Providers in Flowood, MS by specialty
• Internal Medicine Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 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.