Family Medicine Associates of Natchez, PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

18605 Issued in MS

Legal business name

FAMILY MEDICINE ASSOCIATES OF NATCHEZ, PLLC

Practice address

46 Sergeant Prentiss Dr
Suite 203
Natchez, MS 39120-4792

Phone

(601) 445-7773

Fax

(601) 445-5911

NPI assigned

Jul 20, 2008

Organization subpart

No

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

Authorized official

Name

Mrs. Deb Miley

Title

Office Manager

Phone

(601) 445-7773

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Genna Yelverton Guedon, N.P.

  • Family Nurse Practitioner
  • Natchez, MS
  • NPI 1285074369
  Medicare reassignment NPD
• Scott Jay Wolfe, M.D.

  • Family Medicine Physician
  • Natchez, MS
  • NPI 1740215797
  Medicare reassignment NPD

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

{
    "created_epoch": "1216512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586995200000",
    "number": "1669637666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 SEARGENT S PRENTISS DRIVE",
            "address_2": "SUITE 203",
            "city": "NATCHEZ",
            "state": "MS",
            "postal_code": "39120",
            "telephone_number": "601-445-7773",
            "fax_number": "601-455-5911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46 SERGEANT PRENTISS DR",
            "address_2": "SUITE 203",
            "city": "NATCHEZ",
            "state": "MS",
            "postal_code": "391204792",
            "telephone_number": "601-445-7773",
            "fax_number": "601-445-5911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY MEDICINE ASSOCIATES OF NATCHEZ, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-20",
        "last_updated": "2020-04-16",
        "certification_date": "2020-04-16",
        "status": "A",
        "authorized_official_last_name": "MILEY",
        "authorized_official_first_name": "DEB",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "601-445-7773",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MS",
            "license": "18605",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "08855341",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Family Clinic for Health & Wellness, LLC.
• Family Connections Counseling Center LLC
• Family Dental Clinic
• Family First Home Care
• Family First Personal Care and Respite Services LLC
• Fast Pace Mississippi, PLLC
• Stephanie Dellinger Faust
• Feelings Matter Counseling Services LLC
• Demetric V Felder
• Miguel Figueroa, MD, FIPP

• Family Medicine Physician in Natchez, MS
• Providers in Natchez, 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 Apr 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.