New Viality

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

NEW VIALITY

Practice address

711 Brookway Blvd Ste A711
Brookhaven, MS 39601-2639

Phone

(601) 265-2016

Fax

(601) 436-4054

NPI assigned

Jul 8, 2022

Organization subpart

No

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

Authorized official

Name

Charlene GatsonNPI 1396494829

Title

Credentialing Specialist

Phone

(601) 454-4220

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.

• Charlene Renee Gatson

  • Homemaker
  • Jackson, MS
  • NPI 1396494829
  NPD Authorized official

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

{
    "created_epoch": "1657238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657238400000",
    "number": "1578296307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 BROOKWAY BLVD STE A711",
            "city": "BROOKHAVEN",
            "state": "MS",
            "postal_code": "396012639",
            "telephone_number": "601-265-2016",
            "fax_number": "601-436-4054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 BROOKWAY BLVD STE A711",
            "city": "BROOKHAVEN",
            "state": "MS",
            "postal_code": "396012639",
            "telephone_number": "601-265-2016",
            "fax_number": "601-436-4054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW VIALITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-08",
        "last_updated": "2022-07-08",
        "certification_date": "2022-07-08",
        "status": "A",
        "authorized_official_last_name": "GATSON",
        "authorized_official_first_name": "CHARLENE",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "601-454-4220"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittany Griffin Mullins, NP-C
• David D Mullins, LMFT
• Gregory L Myrick, CRNA
• Robin D Nations, MD
• Angelia Yvonne Nelson, LPN
• Ashton Kyle Newman, FNP-C
• Shamekia Nichols
• Krhistyn Dimetrias Noble
• James Larry Nordin
• Nurse Practitioner Professionals, PLLC

• Health Service Clinic/Center in Brookhaven, MS
• Providers in Brookhaven, MS by specialty
• Health Service Clinic/Center in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2022; 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.