Active NPI
Greenwood Leflore Hosptial
- Pulmonary Disease Physician
- Greenwood, MS
National Provider Identifier
1780007047
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- Legal business name
- GREENWOOD LEFLORE HOSPTIAL
- Practice address
- 1401 River Rd
2 East
Greenwood, MS 38930 - Phone
- (662) 451-7881
- Fax
- (662) 451-7865
- NPI assigned
- Jan 22, 2014
- Organization subpart
- Yes
- Parent organization
- GREENWOOD LEFLORE HOSPTIAL
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Jennifer D Holmes
- Title
- Cfo
- Phone
- (662) 459-7000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | Primary |
Addresses
Primary practice location
1401 River Rd
2 East
Greenwood, MS 38930
Mailing address
PO Box 1410
Greenwood, MS 38935-1410
Phone (662) 459-2603
Other names 1
- Greenwood Pulmonary and Sleep Disorder Clinic
National Provider Directory
National Provider Directory- Part of
- Greenwood Leflore Hosp
Locations
1401 River Rd
#2E
Greenwood, MS 38930
Phone (662) 451-7881
1401 River Rd
#2
Greenwood, MS 38930
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Urology Physician
- Greenwood, MS
- NPI 1861763260
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1390348800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1580860800000",
"number": "1780007047",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1410",
"city": "GREENWOOD",
"state": "MS",
"postal_code": "389351410",
"telephone_number": "662-459-2603"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1401 RIVER RD",
"address_2": "2 EAST",
"city": "GREENWOOD",
"state": "MS",
"postal_code": "38930",
"telephone_number": "662-451-7881",
"fax_number": "662-451-7865"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GREENWOOD LEFLORE HOSPTIAL",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "GREENWOOD LEFLORE HOSPTIAL",
"enumeration_date": "2014-01-22",
"last_updated": "2020-02-05",
"certification_date": "2020-02-05",
"status": "A",
"authorized_official_last_name": "HOLMES",
"authorized_official_first_name": "JENNIFER",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "662-459-7000",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Pulmonary Disease",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Greenwood Pulmonary and Sleep Disorder Clinic",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Greenwood Pulmonary and Sleep Disorder Clinic",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Greenwood, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 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.