Organization Active NPI

Henry Flautt Jr MD PA

Doing business as Henry Flautt Jr MD

  • Internal Medicine Physician
  • Greenwood, MS
National Provider Identifier
1578980298
Registry record updated Mar 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
13172 Issued in MS
Legal business name
HENRY FLAUTT JR MD PA
Doing business as
Henry Flautt Jr MD
Practice address
408 W Market St
Greenwood, MS 38930-4232
Phone
(662) 453-0722
Fax
(662) 453-5284
NPI assigned
Mar 19, 2014
Last updated
Mar 19, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2014

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

Authorized official

Name
Dr. Frank Henry Flautt Jr., MDNPI 1760553655
Title
President
Phone
(662) 453-0722

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
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 13172 MS Primary

Addresses

Primary practice location

408 W Market St
Greenwood, MS 38930-4232

Mailing address

408 W Market St
Greenwood, MS 38930-4232
Phone (662) 453-0722

Other identifiers 1

IdentifierTypeStateIssuer
0113766MedicaidMS

Other names 1

  • Henry Flautt Jr MD Doing business as

National Provider Directory

National Provider Directory

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": "1395187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395187200000",
    "number": "1578980298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 W MARKET ST",
            "city": "GREENWOOD",
            "state": "MS",
            "postal_code": "389304232",
            "telephone_number": "662-453-0722",
            "fax_number": "662-453-5284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 W MARKET ST",
            "city": "GREENWOOD",
            "state": "MS",
            "postal_code": "389304232",
            "telephone_number": "662-453-0722",
            "fax_number": "662-453-5284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENRY FLAUTT JR MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-19",
        "last_updated": "2014-03-19",
        "status": "A",
        "authorized_official_last_name": "FLAUTT",
        "authorized_official_first_name": "FRANK",
        "authorized_official_middle_name": "HENRY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "662-453-0722",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MS",
            "license": "13172",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0113766",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Henry Flautt Jr MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Greenwood, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2014; 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.