Organization Active NPI

Central Mississippi Neurology Group PA

  • Specialist
  • Brandon, MS
National Provider Identifier
1609016443
Registry record updated Mar 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
20483 Issued in MS
Legal business name
CENTRAL MISSISSIPPI NEUROLOGY GROUP PA
Practice address
348 Crossgates Blvd
Ste 2300
Brandon, MS 39042-2700
Phone
(601) 824-4354
Fax
(601) 824-6042
NPI assigned
Mar 5, 2009
Last updated
Mar 5, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2009

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

Authorized official

Name
Dr. Xiaohong Si, M.D.
Title
Doctor
Phone
(601) 824-4354

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 20483 MS Primary

Addresses

Primary practice location

348 Crossgates Blvd
Ste 2300
Brandon, MS 39042-2700

Mailing address

348 Crossgates Blvd Ste 2300
Brandon, MS 39042-2634
Phone (601) 824-4354

National Provider Directory

National Provider Directory

Locations

348 Crossgates Blvd
Ste 2300
Brandon, MS 39042
Phone (601) 824-4354

Practitioners & affiliated clinicians

Practitioners 2

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": "1236211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236211200000",
    "number": "1609016443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "348 CROSSGATES BLVD STE 2300",
            "city": "BRANDON",
            "state": "MS",
            "postal_code": "390422634",
            "telephone_number": "601-824-4354",
            "fax_number": "601-824-6042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "348 CROSSGATES BLVD",
            "address_2": "STE 2300",
            "city": "BRANDON",
            "state": "MS",
            "postal_code": "390422700",
            "telephone_number": "601-824-4354",
            "fax_number": "601-824-6042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL MISSISSIPPI NEUROLOGY GROUP PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-05",
        "last_updated": "2009-03-05",
        "status": "A",
        "authorized_official_last_name": "SI",
        "authorized_official_first_name": "XIAOHONG",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "601-824-4354",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MS",
            "license": "20483",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brandon, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 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.