Organization Active NPI

Tombigbee Anesthesia LLC

  • Specialist
  • Columbus, MS
National Provider Identifier
1669474672
Registry record updated Nov 7, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
TOMBIGBEE ANESTHESIA LLC
Practice address
634 Leigh Dr
Columbus, MS 39705-3014
Phone
(662) 327-6820
Fax
(662) 327-9388
NPI assigned
Aug 10, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2007

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

Authorized official

Name
Edith Shelton
Title
Office Manager
Phone
(662) 327-6820

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

634 Leigh Dr
Columbus, MS 39705-3014

Mailing address

PO Box 9235
Columbus, MS 39705-0017
Phone (662) 327-6820

Other identifiers 1

IdentifierTypeStateIssuer
09015934MedicaidMS

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1123632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194393600000",
    "number": "1669474672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9235",
            "city": "COLUMBUS",
            "state": "MS",
            "postal_code": "397050017",
            "telephone_number": "662-327-6820",
            "fax_number": "662-327-9388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "634 LEIGH DR",
            "city": "COLUMBUS",
            "state": "MS",
            "postal_code": "397053014",
            "telephone_number": "662-327-6820",
            "fax_number": "662-327-9388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOMBIGBEE ANESTHESIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-10",
        "last_updated": "2007-11-07",
        "status": "A",
        "authorized_official_last_name": "SHELTON",
        "authorized_official_first_name": "EDITH",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "662-327-6820"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09015934",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2007; 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.