Greenwood Leflore Hospital

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

Legal business name

GREENWOOD LEFLORE HOSPITAL

Doing business as

Greenwood Gastroenterology Center

Practice address

202 W Park Ave
Greenwood, MS 38930

Phone

(662) 455-8058

NPI assigned

Dec 16, 2009

Last updated

Jul 2, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dawne Holmes

Title

Cfo

Phone

(662) 459-7119

Specialties & licenses 1

Addresses

Other names 1

• Greenwood Gastroenterology Center Doing business as

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Greenwood Leflore Hospital

  dba After Hours Clinic

  • Rural Health Clinic/Center
  • Greenwood, MS
  • NPI 1457587610

  Member Of

  NPD member

Locations

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.

• Kathryn Flanagan Evans, FNP-C

  • Family Nurse Practitioner
  • Greenwood, MS
  • NPI 1528434214
  Medicare reassignment Care Compare group NPD
• Richard Goldberg, D.O.

  • Gastroenterology Physician
  • Greenwood, MS
  • NPI 1689831844
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1260921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1530489600000",
    "number": "1679802946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1410",
            "city": "GREENWOOD",
            "state": "MS",
            "postal_code": "389351410",
            "telephone_number": "662-455-8058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 W PARK AVE",
            "city": "GREENWOOD",
            "state": "MS",
            "postal_code": "38930",
            "telephone_number": "662-455-8058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENWOOD LEFLORE HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-16",
        "last_updated": "2018-07-02",
        "status": "A",
        "authorized_official_last_name": "HOLMES",
        "authorized_official_first_name": "DAWNE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "662-459-7119"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Greenwood Gastroenterology Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Greenwood Gastroenterology Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Greenwood Leflore Hospital (Lucas Surgical Group)
• Greenwood Leflore Hospital (Greenwood Primary Care Clinic)
• Greenwood Leflore Hospital
• Greenwood Leflore Hospital (Greenwood Orthopedic Clinic)
• Greenwood Leflore Hospital (Greenwood Children's Clinic)
• Greenwood Leflore Hospital (North Central Ms Specialty Clinic)
• Greenwood Leflore Hospital (Hospitalists)
• Greenwood Leflore Hospital (Greenwood Orthopedic Clinic DME)
• Greenwood Leflore Hospital (GLH Pro Fees)
• Greenwood Leflore Hospital (Greenwood Leflore Walk In Clinic)

• Gastroenterology Physician in Greenwood, MS
• Providers in Greenwood, MS by specialty
• Gastroenterology Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2018; 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.