NPIMap

Organization Active NPI

University of Tennesse

  • Substance Abuse Rehabilitation Facility
  • Southaven, MS
National Provider Identifier
1699987115
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
X Issued in TN
Legal business name
UNIVERSITY OF TENNESSE
Practice address
1164 Warwick PL
Southaven, MS 38671-9477
Phone
(662) 563-4616
NPI assigned
May 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Romero Keith Midgett, M.D.
Title
Medical Doctor OB-GYN
Phone
(662) 536-1646

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X X TN Primary

Addresses

Primary practice location

1164 Warwick PL
Southaven, MS 38671-9477

Mailing address

1164 Warwick PL
Southaven, MS 38671-9477

National Provider Directory

National Provider Directory
Tax ID family
Didi Hirsch Mental Health Services140 organizations share this tax ID, including this one

NPI Registry JSON

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1699987115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1164 WARWICK PL",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386719477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1164 WARWICK PL",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386719477",
            "telephone_number": "662-563-4616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OF TENNESSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-04",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "MIDGETT",
        "authorized_official_first_name": "ROMERO",
        "authorized_official_middle_name": "KEITH",
        "authorized_official_title_or_position": "MEDICAL DOCTOR OB-GYN",
        "authorized_official_telephone_number": "662-536-1646",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "TN",
            "license": "X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southaven, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.