Mississippi College

Primary specialty

Student Health Clinic/CenterTaxonomy code 261QS1000X

Legal business name

MISSISSIPPI COLLEGE

Practice address

200 Capitol St
Clinton, MS 39056-4026

Phone

(601) 925-3345

NPI assigned

Sep 14, 2011

Last updated

Sep 14, 2011By 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

Matt Verret

Title

Head Athletic Trainer

Phone

(601) 925-3345

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Matthew Verret, MS, ATC

  • Athletic Trainer
  • Clinton, MS
  • NPI 1457703746
  NPD (past)

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

{
    "created_epoch": "1315958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315958400000",
    "number": "1528340783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 819020",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753819020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 CAPITOL ST",
            "city": "CLINTON",
            "state": "MS",
            "postal_code": "390564026",
            "telephone_number": "601-925-3345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSISSIPPI COLLEGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-14",
        "last_updated": "2011-09-14",
        "status": "A",
        "authorized_official_last_name": "VERRET",
        "authorized_official_first_name": "MATT",
        "authorized_official_title_or_position": "HEAD ATHLETIC TRAINER",
        "authorized_official_telephone_number": "601-925-3345"
    },
    "taxonomies": [
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Joy Byler Miller
• Mark Page Miller Jr., DPT
• Taylor S Miller
• Elise Ades Milliman, RN
• Amanda M Ming, RDN
• Mississippi CVS Pharmacy LLC (CVS Pharmacy # 10020)
• Mississippi Discount Drugs of Clinton Inc (Mississippi Discount Drugs Health Mart)
• Mississippi Discount Drugs of Clinton, Inc. (Mississippi Discount Drugs Health Mart)
• Mississippi Orthopedic Supply, LLC
• Carvina Vadoll Mitchell, B.S, M.S

• Student Health Clinic/Center in Clinton, MS
• Providers in Clinton, MS by specialty
• Student Health Clinic/Center in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2011; 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.