Active NPI
Mississippi Inpatient Medicine Associates, PLLC
- Internal Medicine Physician
- Grenada, MS
National Provider Identifier
1750336574
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- MISSISSIPPI INPATIENT MEDICINE ASSOCIATES, PLLC
- Practice address
- 965 Avent Dr
Grenada, MS 38901-5045 - Phone
- (662) 227-6426
- Fax
- (662) 227-7541
- NPI assigned
- May 23, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Talbot G McCormick III, MD
- Title
- President
- Phone
- (678) 441-8500
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
965 Avent Dr
Grenada, MS 38901-5045
Mailing address
PO Box 52007
Atlanta, GA 30355-0007
Phone (678) 441-8500
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Loris, SC
- NPI 1083650998
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148342400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1306108800000",
"number": "1750336574",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 52007",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303550007",
"telephone_number": "678-441-8500",
"fax_number": "678-397-0065"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "965 AVENT DR",
"city": "GRENADA",
"state": "MS",
"postal_code": "389015045",
"telephone_number": "662-227-6426",
"fax_number": "662-227-7541"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MISSISSIPPI INPATIENT MEDICINE ASSOCIATES, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-23",
"last_updated": "2011-05-23",
"status": "A",
"authorized_official_last_name": "MCCORMICK",
"authorized_official_first_name": "TALBOT",
"authorized_official_middle_name": "G",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "678-441-8500",
"authorized_official_name_suffix": "III",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grenada, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.