Quality Medical Clinic, Inc.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

14997 Issued in MS

Legal business name

QUALITY MEDICAL CLINIC, INC.

Practice address

1212 Broad St
Columbia, MS 39429-3114

Phone

(601) 444-9266

Fax

(601) 444-9267

NPI assigned

Aug 13, 2014

Last updated

Oct 8, 2014By 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

Victor O Anazia, D.O.NPI 1245232792

Title

Authorized Agent

Phone

(601) 444-9266

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 6

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.

• Victor Anazia, DO

  • Internal Medicine Physician
  • McComb, MS
  • NPI 1245232792
  Medicare reassignment NPD Authorized official
• Stacey Davis, RN

  • Family Nurse Practitioner
  • McComb, MS
  • NPI 1588299572
  Medicare reassignment NPD
• Harry G. Hunt, M.D.

  • Family Medicine Physician
  • Columbia, MS
  • NPI 1346268786
  Medicare reassignment NPD
• Shakita Diane Rawls, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Tylertown, MS
  • NPI 1275043127
  Medicare reassignment NPD
• Robert Watson

  • Family Medicine Physician
  • Purvis, MS
  • NPI 1669413233
  Medicare reassignment NPD
• George Arthur Applewhite, M.D.

  • Public Health & General Preventive Medicine Physician
  • Picayune, MS
  • NPI 1770562647
  NPD (past)

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

{
    "created_epoch": "1407888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412726400000",
    "number": "1720497936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 5TH AVE",
            "city": "MCCOMB",
            "state": "MS",
            "postal_code": "396484159",
            "telephone_number": "601-444-9266",
            "fax_number": "601-444-9267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1212 BROAD ST",
            "city": "COLUMBIA",
            "state": "MS",
            "postal_code": "394293114",
            "telephone_number": "601-444-9266",
            "fax_number": "601-444-9267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUALITY MEDICAL CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-13",
        "last_updated": "2014-10-08",
        "status": "A",
        "authorized_official_last_name": "ANAZIA",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "AUTHORIZED AGENT",
        "authorized_official_telephone_number": "601-444-9266",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MS",
            "license": "14997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Price, P.T.
• Jessica Ross Priddy, FNP
• Psychiatric Services of Columbia
• Pure Touch Home Care, LLC
• Quality Care Internal Medicine of North America
• Conny Christl Randolph, PHYSICAL THERAPIST
• Destiny Rawls
• Gerald Devoe Reed
• Iman A Reed
• Reflections Vision Center Columbia, LLC

• Internal Medicine Physician in Columbia, MS
• Providers in Columbia, MS by specialty
• Internal Medicine Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.