Physicians and Surgeons Hospital Group

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

License

13-287 Issued in MS

Legal business name

PHYSICIANS AND SURGEONS HOSPITAL GROUP

Doing business as

Tri Lakes Primary Care Clinic

Practice address

303 Medical Center Dr
Batesville, MS 38606-8608

Phone

(662) 563-5611

NPI assigned

Mar 22, 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

Mr. Barry Morrison

Title

Ceo

Phone

(662) 563-5611

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Tri Lakes Primary Care Clinic Doing business as

Tax ID family

Physicians and Surgeons Hospital Group4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

• Physicians and Surgeons Hospital Group

  dba Tri Lakes Medical Center Mental Health

  • Adult Mental Health Clinic/Center
  • Batesville, MS
  • NPI 1427249705
  NPD tax ID
• Physicians and Surgeons Hospital Group

  dba Tri Lakes Medical Center

  • General Acute Care Hospital
  • Batesville, MS
  • NPI 1750463501
  NPD tax ID
• Tri Lakes Medical Center

  dba Batesville Speciality

  • Special Hospital
  • Batesville, MS
  • NPI 1366533093
  NPD tax ID

Locations

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1760508659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 MEDICAL CENTER DR",
            "city": "BATESVILLE",
            "state": "MS",
            "postal_code": "386068608",
            "telephone_number": "662-563-5611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 MEDICAL CENTER DR",
            "city": "BATESVILLE",
            "state": "MS",
            "postal_code": "386068608",
            "telephone_number": "662-563-5611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIANS AND SURGEONS HOSPITAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MORRISON",
        "authorized_official_first_name": "BARRY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "662-563-5611",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "MS",
            "license": "13-287",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "08970215",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tri Lakes Primary Care Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shannon Perry
• Physician and Surgeons Hospital Group
• Physicians and Surgeons Hospital Group (Tri Lakes Medical Center)
• Physicians and Surgeons Hospital Group (Tri Lakes Medical Center Mental Health)
• Physicians and Surgeons Hospital Group (Tri Lakes Medical Center)
• Autum N Pierce, LCSW
• Cynthia Nicole Pitts
• Elizabeth Polk Thomas, F.N.P.
• Delilah Pollan, FNP
• Katie Pounds

• Rural Health Clinic/Center in Batesville, MS
• Providers in Batesville, MS by specialty
• Rural Health Clinic/Center 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.