Active NPI
George Alfred Housley Jr., MD
- Rheumatology Physician
- Tupelo, MS
National Provider Identifier
1528034410
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rheumatology Physician
- License
- 15473
- Practice address
- 845 S Madison St
Tupelo, MS 38801-4905 - Phone
- (662) 377-5930
- Fax
- (662) 377-5085
- NPI assigned
- Feb 28, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rheumatology Physician | 207RR0500X | 15473 | MS | Primary |
Addresses
Primary practice location
845 S Madison St
Tupelo, MS 38801-4905
Mailing address
450 E President Ave
Tupelo, MS 38801-5599
Phone (662) 377-4685
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00118535 | Medicaid | MS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15473 | MS | MD | Rheumatology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1225152000000",
"number": "1528034410",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "450 E PRESIDENT AVE",
"city": "TUPELO",
"state": "MS",
"postal_code": "388015599",
"telephone_number": "662-377-4685",
"fax_number": "662-377-5085"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "845 S MADISON ST",
"city": "TUPELO",
"state": "MS",
"postal_code": "388014905",
"telephone_number": "662-377-5930",
"fax_number": "662-377-5085"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOUSLEY",
"first_name": "GEORGE",
"middle_name": "ALFRED",
"name_suffix": "Jr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-28",
"last_updated": "2008-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "207RR0500X",
"taxonomy_group": "",
"desc": "Internal Medicine, Rheumatology",
"state": "MS",
"license": "15473",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00118535",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}Other providers in Tupelo, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 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.