Greenville Primary Care II

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

08946 Issued in MS

Legal business name

GREENVILLE PRIMARY CARE II

Practice address

2363 Highway 1 S
Greenville, MS 38701-8337

Phone

(662) 334-1253

Fax

(662) 332-0443

NPI assigned

Apr 26, 2007

Last updated

Jan 24, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Arvis Hawkins, MDNPI 1548305279

Title

Owner

Phone

(662) 334-1253

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Arvis Hawkins, M D

  • Family Medicine Physician
  • Greenville, MS
  • NPI 1548305279
  NPD (past) Authorized official

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201132800000",
    "number": "1659591428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2363 HIGHWAY 1 S",
            "city": "GREENVILLE",
            "state": "MS",
            "postal_code": "387018337",
            "telephone_number": "662-334-1253",
            "fax_number": "662-332-0443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2363 HIGHWAY 1 S",
            "city": "GREENVILLE",
            "state": "MS",
            "postal_code": "387018337",
            "telephone_number": "662-334-1253",
            "fax_number": "662-332-0443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENVILLE PRIMARY CARE II",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-26",
        "last_updated": "2008-01-24",
        "status": "A",
        "authorized_official_last_name": "HAWKINS",
        "authorized_official_first_name": "ARVIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "662-334-1253",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MS",
            "license": "08946",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09013897",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Greenville Family Clinic Inc (Greenville Family Clinic)
• Greenville Family Medical Center Inc (Family Medical Center)
• Greenville Hem-Onc PC
• Greenville Neuro Diagnostic Center, P.C.
• Greenville Neurology Center, LLC
• Greenville Radiology, Inc
• Greenville Specialty Clinic
• Greenville Surgical Clinic
• Greenville Urology Group LLC
• Jalisa R Greer, M.S.,CCC-SLP

• Family Medicine Physician in Greenville, MS
• Providers in Greenville, MS by specialty
• Family Medicine Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 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.