Individual provider Active NPI

Pamela Thomas, CEO/OWNER

  • Non-emergency Medical Transport (VAN)
  • Southaven, MS
National Provider Identifier
1770237356
Registry record updated Feb 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
License
1246146 Issued in MS
Practice address
8786 N Creek Blvd Apt 10-10
Southaven, MS 38671-7231
Phone
(901) 826-2016
NPI assigned
Feb 11, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 11, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X 1246146 MS Primary

Addresses

Primary practice location

8786 N Creek Blvd Apt 10-10
Southaven, MS 38671-7231

Mailing address

8786 N Creek Blvd Apt 10-10
Southaven, MS 38671-7231
Phone (190) 182-6201

Other names 1

  • Mrs. Pamela Thomas Professional name

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
1246146MSMDNon-emergency Medical Transport (VAN)

NPI Registry JSON

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

{
    "created_epoch": "1644537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644537600000",
    "number": "1770237356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8786 N CREEK BLVD APT 10-10",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386717231",
            "telephone_number": "190-182-6201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8786 N CREEK BLVD APT 10-10",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386717231",
            "telephone_number": "901-826-2016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "PAMELA",
        "name_prefix": "Mrs.",
        "credential": "CEO/OWNER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-11",
        "last_updated": "2022-02-11",
        "certification_date": "2022-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "MS",
            "license": "1246146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAMELA",
            "last_name": "THOMAS",
            "prefix": "MRS.",
            "credential": "CEO/OWNER",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Southaven, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2022; 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.