Active NPI
Live Oaks Addiction Professionals
- Addiction Medicine (Family Medicine) Physician
- Southaven, MS
National Provider Identifier
1619433943
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction Medicine (Family Medicine) Physician
- Legal business name
- LIVE OAKS ADDICTION PROFESSIONALS
- Practice address
- 5699 Getwell Rd Ste 1
Southaven, MS 38672-7312 - Phone
- (662) 510-8400
- Fax
- (662) 510-8500
- NPI assigned
- Feb 12, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Gary D. Carr, MD
- Title
- Sole Member
- Phone
- (662) 510-8400
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction Medicine (Family Medicine) Physician | 207QA0401X | Primary |
Addresses
Primary practice location
5699 Getwell Rd Ste 1
Southaven, MS 38672-7312
Mailing address
201 Methodist Blvd Ste 100
Hattiesburg, MS 39402-1267
Phone (601) 296-3151
National Provider Directory
National Provider DirectoryLocations
5699 Getwell Rd
Ste 1
Southaven, MS 38672
Phone (662) 510-8400
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Addiction Medicine (Family Medicine) Physician
- Southaven, MS
- NPI 1093887945
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1549929600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1549929600000",
"number": "1619433943",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 METHODIST BLVD STE 100",
"city": "HATTIESBURG",
"state": "MS",
"postal_code": "394021267",
"telephone_number": "601-296-3151"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5699 GETWELL RD STE 1",
"city": "SOUTHAVEN",
"state": "MS",
"postal_code": "386727312",
"telephone_number": "662-510-8400",
"fax_number": "662-510-8500"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIVE OAKS ADDICTION PROFESSIONALS",
"organizational_subpart": "NO",
"enumeration_date": "2019-02-12",
"last_updated": "2019-02-12",
"status": "A",
"authorized_official_last_name": "CARR",
"authorized_official_first_name": "GARY",
"authorized_official_middle_name": "D.",
"authorized_official_title_or_position": "SOLE MEMBER",
"authorized_official_telephone_number": "662-510-8400",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207QA0401X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine, Addiction Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Southaven, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.