NPIMap

Organization Active NPI

John R. Harper,MD, PA

  • Primary Care Clinic/Center
  • Taylorsville, MS
National Provider Identifier
1720205339
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
05993 Issued in MS
Legal business name
JOHN R. HARPER,MD, PA
Practice address
105 Eaton Street
Taylorsville, MS 39168
Phone
(601) 785-6786
Fax
(601) 785-7929
NPI assigned
Apr 18, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. John R HarperNPI 1558458885
Title
Owner
Phone
(601) 785-6786

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 05993 MS Primary

Addresses

Primary practice location

105 Eaton Street
Taylorsville, MS 39168

Mailing address

PO Box 159
Taylorsville, MS 39168-0159
Phone (601) 785-6786

Other identifiers 1

IdentifierTypeStateIssuer
00012596MedicaidMS

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1720205339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 159",
            "city": "TAYLORSVILLE",
            "state": "MS",
            "postal_code": "391680159",
            "telephone_number": "601-785-6786",
            "fax_number": "601-785-7929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 EATON STREET",
            "city": "TAYLORSVILLE",
            "state": "MS",
            "postal_code": "39168",
            "telephone_number": "601-785-6786",
            "fax_number": "601-785-7929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN R. HARPER,MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HARPER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-785-6786",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "MS",
            "license": "05993",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00012596",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Taylorsville, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.