Organization Active NPI

Mississippi Nephrologists LLC

  • Nephrology Physician
  • Natchez, MS
National Provider Identifier
1740676006
Registry record updated Jan 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
23889 Issued in MS
Legal business name
MISSISSIPPI NEPHROLOGISTS LLC
Practice address
150 Jefferson Davis Blvd Ste 100
Natchez, MS 39120-5120
Phone
(601) 273-3554
Fax
(601) 653-9589
NPI assigned
Apr 13, 2015
Last updated
Jan 9, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2019

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

Authorized official

Name
Caryl Scharpf
Title
VP of Operations
Phone
(601) 273-3554

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RN0300X 23889 MS Primary

Addresses

Primary practice location

150 Jefferson Davis Blvd Ste 100
Natchez, MS 39120-5120

Mailing address

150 Jefferson Davis Blvd Ste 100
Natchez, MS 39120-5120
Phone (601) 273-3554

Other identifiers 2

IdentifierTypeStateIssuer
2478885MedicaidLA
08253226MedicaidMS

National Provider Directory

National Provider Directory

Locations

1618 EE Wallace Blvd N
Ferriday, LA 71334
Phone (318) 757-8319

NPI Registry JSON

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

{
    "created_epoch": "1428883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546992000000",
    "number": "1740676006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 JEFFERSON DAVIS BLVD STE 100",
            "city": "NATCHEZ",
            "state": "MS",
            "postal_code": "391205120",
            "telephone_number": "601-273-3554",
            "fax_number": "601-653-9589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 JEFFERSON DAVIS BLVD STE 100",
            "city": "NATCHEZ",
            "state": "MS",
            "postal_code": "391205120",
            "telephone_number": "601-273-3554",
            "fax_number": "601-653-9589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSISSIPPI NEPHROLOGISTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-13",
        "last_updated": "2019-01-09",
        "status": "A",
        "authorized_official_last_name": "SCHARPF",
        "authorized_official_first_name": "CARYL",
        "authorized_official_title_or_position": "VP OF OPERATIONS",
        "authorized_official_telephone_number": "601-273-3554"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "MS",
            "license": "23889",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2478885",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "08253226",
            "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 Jan 9, 2019; 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.