Organization Active NPI

Louisville Medical Associates PLLC

  • Family Medicine Physician
  • Louisville, MS
National Provider Identifier
1649294208
Registry record updated Mar 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
LOUISVILLE MEDICAL ASSOCIATES PLLC
Practice address
564 E Main St
Louisville, MS 39339-2742
Phone
(662) 773-7500
Fax
(662) 779-5006
NPI assigned
Jul 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2008

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

Authorized official

Name
Debbie Jones Fryery
Title
Insurance Billing/Assistant Adm
Phone
(662) 773-7500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

564 E Main St
Louisville, MS 39339-2742

Mailing address

PO Box 190
Louisville, MS 39339-0190
Phone (662) 773-7500

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.

NPI Registry JSON

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204675200000",
    "number": "1649294208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 190",
            "city": "LOUISVILLE",
            "state": "MS",
            "postal_code": "393390190",
            "telephone_number": "662-773-7500",
            "fax_number": "662-779-5006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "564 E MAIN ST",
            "city": "LOUISVILLE",
            "state": "MS",
            "postal_code": "393392742",
            "telephone_number": "662-773-7500",
            "fax_number": "662-779-5006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOUISVILLE MEDICAL ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-27",
        "last_updated": "2008-03-05",
        "status": "A",
        "authorized_official_last_name": "FRYERY",
        "authorized_official_first_name": "DEBBIE",
        "authorized_official_middle_name": "JONES",
        "authorized_official_title_or_position": "INSURANCE  BILLING/ASSISTANT ADM",
        "authorized_official_telephone_number": "662-773-7500"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, MS

Sources for this page

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