NPIMap

Organization Active NPI

Natchez Regional Medical Center

Doing business as Natchez Neurology Clinic

  • Specialist
  • Natchez, MS
National Provider Identifier
1669536041
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
18393 Issued in MS
Legal business name
NATCHEZ REGIONAL MEDICAL CENTER
Doing business as
Natchez Neurology Clinic
Practice address
54 SGT Prentiss Dr
Natchez, MS 39120-4726
Phone
(601) 442-3690
Fax
(601) 442-4928
NPI assigned
Dec 20, 2006
Last updated
Aug 22, 2020By the provider in NPPES
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
Mr. Jeffrey Wesselman
Title
Ceo
Phone
(601) 443-2600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 18393 MS Primary

Addresses

Primary practice location

54 SGT Prentiss Dr
Natchez, MS 39120-4726

Mailing address

PO Box 1488
Natchez, MS 39121-1488
Phone (601) 443-2600

Other identifiers 2

IdentifierTypeStateIssuer
06473302MedicaidMS
1462217MedicaidLA

Other names 1

  • Natchez Neurology Clinic Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Natchez Regional Med Ce6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1669536041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1488",
            "city": "NATCHEZ",
            "state": "MS",
            "postal_code": "391211488",
            "telephone_number": "601-443-2600",
            "fax_number": "601-445-0362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 SGT PRENTISS DR",
            "city": "NATCHEZ",
            "state": "MS",
            "postal_code": "391204726",
            "telephone_number": "601-442-3690",
            "fax_number": "601-442-4928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATCHEZ REGIONAL MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WESSELMAN",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "601-443-2600",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MS",
            "license": "18393",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06473302",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1462217",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Natchez Neurology Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Natchez, 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.