NPIMap

Organization Active NPI

D. W. Ratliff

Doing business as Belmont Medical Clinic

  • Family Medicine Physician
  • Belmont, MS
National Provider Identifier
1568668804
Registry record updated Jun 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
7354 Issued in MS
Legal business name
D. W. RATLIFF
Doing business as
Belmont Medical Clinic
Practice address
102 Third Street
Belmont, MS 38827-0190
Phone
(662) 454-3401
NPI assigned
Jun 25, 2007
Last updated
Jun 30, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2008

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

Authorized official

Name
Dr. Donald W Ratliff, M.D.NPI 1871597385
Title
Owner
Phone
(662) 454-3401

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 7354 MS Primary

Addresses

Primary practice location

102 Third Street
Belmont, MS 38827-0190

Mailing address

PO Box 190
102 Third Street
Belmont, MS 38827-0190
Phone (662) 454-3401

Other identifiers 4

IdentifierTypeStateIssuer
00016909MedicaidMS
09010951MedicaidMS
C00480OtherMSMEDICARE C#
082945519OtherMSMEDICARE PROVIDER NUMBER

Other names 1

  • Belmont Medical Clinic Doing business as

National Provider Directory

National Provider Directory

Locations

102 3rd St
Belmont, MS 38827
Phone (662) 454-3401

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1182729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214784000000",
    "number": "1568668804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 190",
            "address_2": "102 THIRD STREET",
            "city": "BELMONT",
            "state": "MS",
            "postal_code": "388270190",
            "telephone_number": "662-454-3401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 THIRD STREET",
            "city": "BELMONT",
            "state": "MS",
            "postal_code": "388270190",
            "telephone_number": "662-454-3401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "D. W. RATLIFF",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-25",
        "last_updated": "2008-06-30",
        "status": "A",
        "authorized_official_last_name": "RATLIFF",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "662-454-3401",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MS",
            "license": "7354",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00016909",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09010951",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE C#",
            "identifier": "C00480",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER NUMBER",
            "identifier": "082945519",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Belmont Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Belmont, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 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.

Verify at the official NPI Registry.