NPIMap

Organization Active NPI

Hickory Flat Family Clinic LLC

  • Primary Care Clinic/Center
  • Hickor Flat, MS
National Provider Identifier
1669649570
Registry record updated May 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
R687235 Issued in MS
Legal business name
HICKORY FLAT FAMILY CLINIC LLC
Practice address
250 Oak Street
Hickor Flat, MS 38633
Phone
(662) 333-6378
NPI assigned
May 9, 2008
Last updated
May 9, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2008

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

Authorized official

Name
Ms. Denise Wells Gossett, CFNP
Title
Nurse Practitioner
Phone
(662) 202-5685

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X R687235 MS Primary

Addresses

Primary practice location

250 Oak Street
Hickor Flat, MS 38633

Mailing address

PO Box 128
Hickory Flat, MS 38633-0128
Phone (662) 333-6387

National Provider Directory

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": "1210291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210291200000",
    "number": "1669649570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 128",
            "city": "HICKORY FLAT",
            "state": "MS",
            "postal_code": "386330128",
            "telephone_number": "662-333-6387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 OAK STREET",
            "city": "HICKOR FLAT",
            "state": "MS",
            "postal_code": "38633",
            "telephone_number": "662-333-6378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HICKORY FLAT FAMILY CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-09",
        "last_updated": "2008-05-09",
        "status": "A",
        "authorized_official_last_name": "GOSSETT",
        "authorized_official_first_name": "DENISE",
        "authorized_official_middle_name": "WELLS",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "662-202-5685",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CFNP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "MS",
            "license": "R687235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 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.