Mid-South Perinatal Associates PC

Primary specialty

Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X

Legal business name

MID-SOUTH PERINATAL ASSOCIATES PC

Practice address

620 Skyline Dr.
Jackson, TN 38301

Phone

(731) 541-6939

Fax

(731) 541-6836

NPI assigned

Jul 27, 2006

Organization subpart

No

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

Authorized official

Name

Nathan J Hoeldtke, MDNPI 1730162876

Title

President/ Ceo

Phone

(731) 541-6836

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nathan John Hoeldtke, M.D.

  • Maternal & Fetal Medicine Physician
  • Jackson, TN
  • NPI 1730162876
  Medicare reassignment NPD Authorized official
• Maria Caroline Antique, M.D.

  • Internal Medicine Physician
  • Jackson, TN
  • NPI 1245278415
  NPD (past)
• Vernessa Lynn Davis-Tharpe, MD

  • Pediatrics Physician
  • Jackson, TN
  • NPI 1275564866
  NPD (past)

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561507200000",
    "number": "1780608331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 11505",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "38308",
            "telephone_number": "731-541-6939",
            "fax_number": "731-541-6836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 SKYLINE DR.",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "38301",
            "telephone_number": "731-541-6939",
            "fax_number": "731-541-6836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID-SOUTH PERINATAL ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-27",
        "last_updated": "2019-06-26",
        "status": "A",
        "authorized_official_last_name": "HOELDTKE",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT/ CEO",
        "authorized_official_telephone_number": "731-541-6836",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207VM0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mid-South Lung Center PLC
• Mid-South Surgery Associates, PLLC
• Heather Middleton
• Shaneka Nicole Midgett, CASE MANAGER
• Midsouth Interventional Pain Institute, LLC
• Midsouth Plastic Surgery PLLC

• Maternal & Fetal Medicine Physician in Jackson, TN
• Providers in Jackson, TN by specialty
• Maternal & Fetal Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.