Southern Alternative & Integrative Medicine

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Legal business name

SOUTHERN ALTERNATIVE & INTEGRATIVE MEDICINE

Practice address

921 Wall St Ste B
McComb, MS 39648-3161

Phone

(601) 395-4073

Fax

(601) 395-9422

NPI assigned

Oct 4, 2017

Organization subpart

No

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

Authorized official

Name

Trisch Veal McKinley, NHC, CHW, DIRECTOR

Title

Director

Phone

(601) 395-4073

Specialties & licenses 6

Addresses

Other names 1

• Southern Complimentary Wellness center Other name

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

{
    "created_epoch": "1507075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619654400000",
    "number": "1699285692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "331 7TH ST",
            "city": "MCCOMB",
            "state": "MS",
            "postal_code": "396484752",
            "telephone_number": "601-395-4073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "921 WALL ST STE B",
            "city": "MCCOMB",
            "state": "MS",
            "postal_code": "396483161",
            "telephone_number": "601-395-4073",
            "fax_number": "601-395-9422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN ALTERNATIVE & INTEGRATIVE MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-04",
        "last_updated": "2021-04-29",
        "certification_date": "2021-04-29",
        "status": "A",
        "authorized_official_last_name": "VEAL MCKINLEY",
        "authorized_official_first_name": "TRISCH",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "601-395-4073",
        "authorized_official_credential": "NHC, CHW, DIRECTOR"
    },
    "taxonomies": [
        {
            "code": "101YP1600X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Pastoral",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "174H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Naturopath",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "374K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Religious Nonmedical Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southern Complimentary Wellness center",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Southern Complimentary Wellness center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Milton Shelby Smith, M.D., F.A.A.P.
• Scott Farr Smith, M.D.
• Shanae Roshelle Smith
• Shyekia Smith, MSCE
• Pamela Sue Smithie, D.M.D.
• Southwest Center for Facial and Oral Surgery
• Southwest Clinic for Women PLLC
• Southwest Discoun T Drugs
• Southwest Mississippi Ear, Nose & Throat Clinic, P.a.
• Southwest Mississippi ENT, LLC

• Community Health Worker in McComb, MS
• Providers in McComb, MS by specialty
• Community Health Worker in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2021; 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.