NPIMap

Organization Active NPI

Greenwood Leflore Hospital

Doing business as North Central Ms Specialty Clinic

  • Gastroenterology Physician
  • Greenwood, MS
National Provider Identifier
1689633950
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
GREENWOOD LEFLORE HOSPITAL
Doing business as
North Central Ms Specialty Clinic
Practice address
201 E Washington St
Greenwood, MS 38930-4407
Phone
(662) 459-7000
NPI assigned
Mar 23, 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. Jerry Adams
Title
Ceo
Phone
(662) 459-7000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RG0100X Primary

Addresses

Primary practice location

201 E Washington St
Greenwood, MS 38930-4407

Mailing address

PO Box 1410
Attn: Clinic Administration
Greenwood, MS 38935-1410
Phone (662) 459-1187

Other names 1

  • NORTH CENTRAL MS SPECIALTY CLINIC Doing business as

National Provider Directory

National Provider Directory

Locations

1401 River Rd
Rm 442
Greenwood, MS 38930
Phone (662) 459-7149

1604 Leflore Ave
Greenwood, MS 38930
Phone (662) 453-0532

110 Tchula St
Lexington, MS 39095
Phone (662) 834-1855

Practitioners & affiliated clinicians

Practitioners 76

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.

View all 76

NPI Registry JSON

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

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1689633950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1410",
            "address_2": "ATTN: CLINIC ADMINISTRATION",
            "city": "GREENWOOD",
            "state": "MS",
            "postal_code": "389351410",
            "telephone_number": "662-459-1187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 E WASHINGTON ST",
            "city": "GREENWOOD",
            "state": "MS",
            "postal_code": "389304407",
            "telephone_number": "662-459-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENWOOD LEFLORE HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "JERRY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "662-459-7000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NORTH CENTRAL MS SPECIALTY CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Greenwood, 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.