Individual provider Active NPI

Elizabeth Newcomb, D.PSC

  • Specialist
  • Corinth, MS
National Provider Identifier
1770061442
Registry record updated Jun 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
363520274 Issued in MS
Practice address
102 N Cass St Ste B
Corinth, MS 38834-5729
Phone
(855) 427-4874
Fax
(855) 427-4874
NPI assigned
Aug 3, 2018
Last updated
Jun 22, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 22, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 363520274 MS Primary

Addresses

Primary practice location

102 N Cass St Ste B
Corinth, MS 38834-5729

Mailing address

PO Box 1498
Booneville, MS 38829-6498
Phone (855) 427-4874

Other practice location 1

458 CR 550
Rienzi, MS 38865
Phone (662) 596-1536

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
363520274MSMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
A Port in the Storm (Apits) CurrentSince Jun 21, 2020 Accepting new patients

Locations

102 N Cass St
#B
Corinth, MS 38834
Phone (855) 427-4874

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1533254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592784000000",
    "number": "1770061442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1498",
            "city": "BOONEVILLE",
            "state": "MS",
            "postal_code": "388296498",
            "telephone_number": "855-427-4874",
            "fax_number": "855-427-4874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 N CASS ST STE B",
            "city": "CORINTH",
            "state": "MS",
            "postal_code": "388345729",
            "telephone_number": "855-427-4874",
            "fax_number": "855-427-4874"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "458 CR 550",
            "address_purpose": "LOCATION",
            "city": "Rienzi",
            "state": "MS",
            "postal_code": "38865",
            "country_code": "US",
            "telephone_number": "662-596-1536",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NEWCOMB",
        "first_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "D.PSC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-03",
        "last_updated": "2020-06-22",
        "certification_date": "2020-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MS",
            "license": "363520274",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corinth, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 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.