Organization Active NPI

Natchez After Hours Clinic, PLLC

  • Nurse Practitioner
  • Natchez, MS
National Provider Identifier
1508267295
Registry record updated Oct 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
NATCHEZ AFTER HOURS CLINIC, PLLC
Practice address
105 Northgate Rd Ste D
Natchez, MS 39120-9162
Phone
(601) 442-1900
Fax
(601) 442-1908
NPI assigned
Sep 12, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2014

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

Authorized official

Name
Mr. Jose A Serio, CFNP
Title
Nurse Practitioner
Phone
(601) 442-1900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 363L00000X Primary

Addresses

Primary practice location

105 Northgate Rd Ste D
Natchez, MS 39120-9162

Mailing address

105 Northgate Rd Ste D
Natchez, MS 39120-9162

Other names 1

  • Natchez Urgent Care Clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060907000522 MS Part B Supplier - Clinic/Group Practice 0648274555 Receives reassigned benefits from 6 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Natchez, MS

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

46 Sgt Prentiss Dr
Ste 101
Natchez, MS 39120
Phone (601) 442-1900

105 Northgate Rd
#D
Natchez, MS 39120
Phone (601) 446-5911

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/25738/brand/1/csg/1/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/8038/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1410480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413417600000",
    "number": "1508267295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 NORTHGATE RD STE D",
            "city": "NATCHEZ",
            "state": "MS",
            "postal_code": "391209162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 NORTHGATE RD STE D",
            "city": "NATCHEZ",
            "state": "MS",
            "postal_code": "391209162",
            "telephone_number": "601-442-1900",
            "fax_number": "601-442-1908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATCHEZ AFTER HOURS CLINIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-12",
        "last_updated": "2014-10-16",
        "status": "A",
        "authorized_official_last_name": "SERIO",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "601-442-1900",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CFNP"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Natchez Urgent Care Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Natchez, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.