Oxford Professional Group, P.C.

Primary specialty

Addiction Psychiatry PhysicianTaxonomy code 2084P0802X

Legal business name

OXFORD PROFESSIONAL GROUP, P.C.

Practice address

297 County Road 244
Ste. 100
Etta, MS 38627

Phone

(662) 281-9992

Fax

(615) 457-8094

NPI assigned

Aug 24, 2015

Last updated

Aug 25, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mark A Calarco, DO

Title

Facility Ceo

Phone

(615) 712-5862

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1440374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629849600000",
    "number": "1710354964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 POWELL PL",
            "address_2": "ATTN: LEGAL DEPARTMENT",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370277514",
            "telephone_number": "615-732-1605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "297 COUNTY ROAD 244",
            "address_2": "STE. 100",
            "city": "ETTA",
            "state": "MS",
            "postal_code": "38627",
            "telephone_number": "662-281-9992",
            "fax_number": "615-457-8094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OXFORD PROFESSIONAL GROUP, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-24",
        "last_updated": "2021-08-25",
        "certification_date": "2021-08-25",
        "status": "A",
        "authorized_official_last_name": "CALARCO",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "FACILITY CEO",
        "authorized_official_telephone_number": "615-712-5862",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0802X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Alexis Dickens, REGISTERED NURSE
• Dana S Howell, PMHNP
• Haley Johnson, PMHNP
• Jason Allen McCain, MSN, AGPCNP
• Oxford Treatment Center, LLC
• Bailey Sardisco
• The Oxford Centre, Inc.
• The Oxford Centre, LLC

• Addiction Psychiatry Physician in Etta, MS
• Providers in Etta, MS by specialty
• Addiction Psychiatry Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 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.