NPIMap

Organization Active NPI

River Oaks Management Company, Inc

Doing business as Care Plus Puckett Clinic

  • Family Nurse Practitioner
  • Puckett, MS
National Provider Identifier
1649422130
Registry record updated Oct 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R633283 Issued in MS
Legal business name
RIVER OAKS MANAGEMENT COMPANY, INC
Doing business as
Care Plus Puckett Clinic
Practice address
6455 Hwy 18
Puckett, MS 39151
Phone
(601) 824-9490
Fax
(601) 824-9533
NPI assigned
Oct 16, 2008
Last updated
Oct 16, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2008

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

Authorized official

Name
Mrs. Latoya Satcher
Title
Director
Phone
(601) 936-3100

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1093189 AL
Family Nurse Practitioner 363LF0000X R633283 MS Primary

Addresses

Primary practice location

6455 Hwy 18
Puckett, MS 39151

Mailing address

2550 Flowood Dr
Suite 402
Flowood, MS 39232-9303
Phone (601) 936-3100

Other identifiers 1

IdentifierTypeStateIssuer
630505104MedicaidAL

Other names 1

  • Care Plus Puckett Clinic Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Care Plus Family Medicine - Highland Colony40 organizations share this tax ID, including this one

Other organizations with this tax ID 39

Organizations that report the same tax identification number in the National Provider Directory.

View all 39

Locations

2550 Flowood Dr
Ste 402
Flowood, MS 39232

NPI Registry JSON

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

{
    "created_epoch": "1224115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224115200000",
    "number": "1649422130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2550 FLOWOOD DR",
            "address_2": "SUITE 402",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392329303",
            "telephone_number": "601-936-3100",
            "fax_number": "601-936-3130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6455 HWY 18",
            "city": "PUCKETT",
            "state": "MS",
            "postal_code": "39151",
            "telephone_number": "601-824-9490",
            "fax_number": "601-824-9533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVER OAKS MANAGEMENT COMPANY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-16",
        "last_updated": "2008-10-16",
        "status": "A",
        "authorized_official_last_name": "SATCHER",
        "authorized_official_first_name": "LATOYA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "601-936-3100",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1093189",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R633283",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "630505104",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Care Plus Puckett Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Puckett, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 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.