Active NPI
Natchez After Hours Clinic, PLLC
- Nurse Practitioner
- Natchez, MS
National Provider Identifier
1508267295
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
Enrollment records 1
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- General Practice Physician
- Natchez, MS
- NPI 1982634051
O20060907000522
National Provider Directory
National Provider DirectoryLocations
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
- https://api.platform.athenahealth.com/25738/brand/1/csg/1/fhir/r4
- 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.
-
- Family Nurse Practitioner
- Natchez, MS
- NPI 1306687868
-
- Family Nurse Practitioner
- Natchez, MS
- NPI 1790547362
-
- Internal Medicine Physician
- Natchez, MS
- NPI 1801837679
-
- Nurse Practitioner
- Brookhaven, MS
- NPI 1316942790
-
- Family Nurse Practitioner
- Natchez, MS
- NPI 1043974678
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.