Golden Triangle Neurology Clinic, PLLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

09735 Issued in MS

Legal business name

GOLDEN TRIANGLE NEUROLOGY CLINIC, PLLC

Practice address

516B Lincoln Rd
Columbus, MS 39705-2226

Phone

(662) 327-2700

Fax

(662) 327-1242

NPI assigned

Apr 6, 2007

Last updated

Aug 22, 2020By 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

Mrs. Susie Simpson

Title

Billing Supervisor

Phone

(662) 327-2700

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1730202854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "516B LINCOLN RD",
            "city": "COLUMBUS",
            "state": "MS",
            "postal_code": "397052226",
            "telephone_number": "662-327-2700",
            "fax_number": "662-327-1242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516B LINCOLN RD",
            "city": "COLUMBUS",
            "state": "MS",
            "postal_code": "397052226",
            "telephone_number": "662-327-2700",
            "fax_number": "662-327-1242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN TRIANGLE NEUROLOGY CLINIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SIMPSON",
        "authorized_official_first_name": "SUSIE",
        "authorized_official_title_or_position": "BILLING SUPERVISOR",
        "authorized_official_telephone_number": "662-327-2700",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MS",
            "license": "09735",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Golden Triangle Urology PLLC

• Specialist in Columbus, MS
• Providers in Columbus, MS by specialty
• Specialist in Mississippi

• 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.