NPIMap

Organization Active NPI

North Mississippi Foot Specialists PC

  • Durable Medical Equipment & Medical Supplies
  • Rolling Fork, MS
National Provider Identifier
1669513883
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
NORTH MISSISSIPPI FOOT SPECIALISTS PC
Practice address
47 South Fourth Street
Rolling Fork, MS 39159
Phone
(662) 513-6600
NPI assigned
Feb 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
R Michael Whitmore, DPM
Title
President
Phone
(662) 513-6600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

47 South Fourth Street
Rolling Fork, MS 39159

Mailing address

PO Box 1233
Oxford, MS 38655-1233
Phone (662) 513-6600

Other identifiers 1

IdentifierTypeStateIssuer
02333593MedicaidMS

National Provider Directory

National Provider Directory
Tax ID family
North Mississippi Foot Specialists PC19 organizations share this tax ID, including this one

Other organizations with this tax ID 18

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

View all 18

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": "1170979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1669513883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1233",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "386551233",
            "telephone_number": "662-513-6600",
            "fax_number": "662-513-0960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 SOUTH FOURTH STREET",
            "city": "ROLLING FORK",
            "state": "MS",
            "postal_code": "39159",
            "telephone_number": "662-513-6600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH MISSISSIPPI FOOT SPECIALISTS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WHITMORE",
        "authorized_official_first_name": "R",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "662-513-6600",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02333593",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rolling Fork, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.