Midsouth Neuro Behavioral Associates

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

MIDSOUTH NEURO BEHAVIORAL ASSOCIATES

Practice address

519 Alabama St
Columbus, MS 39702-5305

Phone

(662) 328-5949

NPI assigned

Mar 22, 2008

Organization subpart

No

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

Authorized official

Name

Samuel Wilson

Title

Manager

Phone

(662) 328-5949

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1206144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206144000000",
    "number": "1699946202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "519 ALABAMA ST",
            "city": "COLUMBUS",
            "state": "MS",
            "postal_code": "397025305",
            "telephone_number": "662-328-5949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "519 ALABAMA ST",
            "city": "COLUMBUS",
            "state": "MS",
            "postal_code": "397025305",
            "telephone_number": "662-328-5949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDSOUTH NEURO BEHAVIORAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-22",
        "last_updated": "2008-03-22",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "662-328-5949"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Merci Home Care Services
• Jacob Mercier
• Kimberly Kay Merritt, R.PH.
• Lee Merritt, RPH
• Michael a Berry
• Diana Patricia Milan, DMD
• Jason Todd Miller, MED., ATC
• Matthew S Miller, DMD
• Tammy L Miller, NP
• Keri Lynn Mills, PHARMD

• Psychiatry Physician in Columbus, MS
• Providers in Columbus, MS by specialty
• Psychiatry Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2008; 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.