NPIMap

Organization Active NPI

Geoffrey J Flattmann MD Facs PLLC

  • Specialist
  • Natchez, MS
National Provider Identifier
1710177035
Registry record updated Feb 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
16771 Issued in MS
Legal business name
GEOFFREY J FLATTMANN MD FACS PLLC
Practice address
142 Jeff Davis Blvd
Suite a
Natchez, MS 39120-5104
Phone
(601) 445-8667
NPI assigned
Aug 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2022

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

Authorized official

Name
Geoffrey J Flattmann, M.D.NPI 1801845136
Title
Owner
Phone
(601) 445-8667

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
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 16771 MS Primary

Addresses

Primary practice location

142 Jeff Davis Blvd
Suite a
Natchez, MS 39120-5104

Mailing address

1046 Highway 61 S
Natchez, MS 39120-8615
Phone (601) 442-8219

Other identifiers 4

IdentifierTypeStateIssuer
P00322618OtherMSMEDICARE RAILROAD
1684147MedicaidLA
433474739BOtherMSBCBS OF MS
00122080MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, MS2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20080725000645 LA Part B Supplier - Clinic/Group Practice 2365515186 Receives reassigned benefits from 1 practitioner
Practice locations: Vidalia, LA
O20220209002645 MS Part B Supplier - Clinic/Group Practice 2365515186 Receives reassigned benefits from 1 practitioner
Practice locations: Natchez, MS

National Provider Directory

National Provider Directory

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": "1185926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644364800000",
    "number": "1710177035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1046 HIGHWAY 61 S",
            "city": "NATCHEZ",
            "state": "MS",
            "postal_code": "391208615",
            "telephone_number": "601-442-8219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142 JEFF DAVIS BLVD",
            "address_2": "SUITE A",
            "city": "NATCHEZ",
            "state": "MS",
            "postal_code": "391205104",
            "telephone_number": "601-445-8667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEOFFREY J FLATTMANN MD FACS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-01",
        "last_updated": "2022-02-09",
        "certification_date": "2022-02-09",
        "status": "A",
        "authorized_official_last_name": "FLATTMANN",
        "authorized_official_first_name": "GEOFFREY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-445-8667",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "MS",
            "license": "16771",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00322618",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1684147",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MS",
            "identifier": "433474739B",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00122080",
            "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 Feb 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.