Organization Active NPI

Parkway Family Medicine

  • Primary Care Clinic/Center
  • Ridgeland, MS
National Provider Identifier
1528291341
Registry record updated Aug 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
16022 Issued in MS
Legal business name
PARKWAY FAMILY MEDICINE
Practice address
100 Business Park Dr Ste a
Ridgeland, MS 39157-6015
Phone
(601) 991-3040
Fax
(601) 991-3399
NPI assigned
Aug 27, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2009

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

Authorized official

Name
Joyce Olutade, M.D.
Title
Physician
Phone
(601) 991-3040

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 16022 MS Primary

Addresses

Primary practice location

100 Business Park Dr Ste a
Ridgeland, MS 39157-6015

Mailing address

100 Business Park Dr Ste a
Ridgeland, MS 39157-6015
Phone (601) 991-3040

National Provider Directory

National Provider Directory

Locations

100 Business Park Dr
Ste Ab
Ridgeland, MS 39157
Phone (601) 991-3040

100 Business Park Dr
Ridgeland, MS 39157
Phone (601) 956-6228

NPI Registry JSON

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

{
    "created_epoch": "1251331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251331200000",
    "number": "1528291341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 BUSINESS PARK DR STE A",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391576015",
            "telephone_number": "601-991-3040",
            "fax_number": "601-991-3399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 BUSINESS PARK DR STE A",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391576015",
            "telephone_number": "601-991-3040",
            "fax_number": "601-991-3399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARKWAY FAMILY MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-27",
        "last_updated": "2009-08-27",
        "status": "A",
        "authorized_official_last_name": "OLUTADE",
        "authorized_official_first_name": "JOYCE",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "601-991-3040",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "MS",
            "license": "16022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgeland, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2009; 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.