Patriece L Giddens
Individual provider Active NPI Driver · Pontotoc, MS
NPI 1699640557 · NPPES record last updated Oct 9, 2025
Key facts
- NPI
- 1699640557
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Driver 172A00000X
- License
- PNQ215 (MS)
- Practice address
- 13799 Highway 41
Pontotoc, MS 38863-8863 - Phone
- (662) 631-0358
- NPI assigned
- Oct 9, 2025
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PNQ215 | MS | MD | Driver |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Driver | 172A00000X | PNQ215 | MS | Yes |
Addresses
Primary practice location
13799 Highway 41
Pontotoc, MS 38863-8863
Mailing address
13799 Highway 41
Pontotoc, MS 38863-8863
Phone (662) 631-0358
Other providers in Pontotoc, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 9, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.