Organization Active NPI

Reed Medical Clinic

  • Primary Care Clinic/Center
  • Natchez, MS
National Provider Identifier
1699038521
Registry record updated Jun 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
10009 Issued in MS
Legal business name
REED MEDICAL CLINIC
Practice address
55 SGT Prentiss Dr
Suite 102
Natchez, MS 39120-4782
Phone
(601) 445-7352
Fax
(601) 445-7353
NPI assigned
Jun 15, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2012

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

Authorized official

Name
Dr. Alphonse Michael Reed, M.D.NPI 1063577799
Title
Physician-Owner-President
Phone
(601) 445-7352

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 10009 MS Primary

Addresses

Primary practice location

55 SGT Prentiss Dr
Suite 102
Natchez, MS 39120-4782

Mailing address

55 SGT Prentiss Dr
Suite 102
Natchez, MS 39120-4782
Phone (601) 445-7352

Other identifiers 1

IdentifierTypeStateIssuer
00013542MedicaidMS

National Provider Directory

National Provider Directory

Locations

55 Sgt Prentiss Dr
Ste 102
Natchez, MS 39120
Phone (601) 304-5567

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1339718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339718400000",
    "number": "1699038521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 SGT PRENTISS DR",
            "address_2": "SUITE 102",
            "city": "NATCHEZ",
            "state": "MS",
            "postal_code": "391204782",
            "telephone_number": "601-445-7352",
            "fax_number": "601-445-7353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 SGT PRENTISS DR",
            "address_2": "SUITE 102",
            "city": "NATCHEZ",
            "state": "MS",
            "postal_code": "391204782",
            "telephone_number": "601-445-7352",
            "fax_number": "601-445-7353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REED MEDICAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-15",
        "last_updated": "2012-06-15",
        "status": "A",
        "authorized_official_last_name": "REED",
        "authorized_official_first_name": "ALPHONSE",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PHYSICIAN-OWNER-PRESIDENT",
        "authorized_official_telephone_number": "601-445-7352",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "MS",
            "license": "10009",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00013542",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Jun 15, 2012; 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.