Northeast Mississippi Planning and Development District

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

NORTHEAST MISSISSIPPI PLANNING AND DEVELOPMENT DISTRICT

Practice address

619 E. Parker
Booneville, MS 38829

Phone

(662) 728-7038

Fax

(662) 728-2417

NPI assigned

Oct 3, 2006

Last updated

Aug 22, 2020By 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

Mrs. Sharon Gardner

Title

Executive Director

Phone

(662) 728-7038

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Elderly and Disabled Medicaid Waiver Program Other name

Tax ID family

Elderly and Disabled Medicaid Waiver Program2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Northeast Mississippi Planning and Development District

  • Case Management Agency
  • Booneville, MS
  • NPI 1528330859
  NPD tax ID

Locations

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1508951120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O.BOX 600",
            "city": "BOONEVILLE",
            "state": "MS",
            "postal_code": "38829",
            "telephone_number": "662-728-7038",
            "fax_number": "662-728-2417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "619 E. PARKER",
            "city": "BOONEVILLE",
            "state": "MS",
            "postal_code": "38829",
            "telephone_number": "662-728-7038",
            "fax_number": "662-728-2417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEAST MISSISSIPPI PLANNING AND DEVELOPMENT DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GARDNER",
        "authorized_official_first_name": "SHARON",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "662-728-7038",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER NUMBER",
            "identifier": "00770312",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elderly and Disabled Medicaid Waiver Program",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• North Mississippi Medical Clinics Inc (Booneville Medical Clinic and Urgent Care)
• North Mississippi Primary Health Care, Inc.
• North Mississippi Pulmonology Clinic Inc
• Northeast Mississippi Community Services, Inc..
• Northeast Mississippi Inpatient Services, LLC
• Northeast Mississippi Planning and Development District
• Northeast Ms Internal Medicine PC
• Carly O'Neal, PMHNP-BC
• Ortho Express Holding Company, LLC (OrthoXpress Bone & Joint Center of Booneville)
• Austin Brock Parris, DDS

• Case Management Agency in Booneville, MS
• Providers in Booneville, MS by specialty
• Case Management Agency in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.