Northwest Mississippi Otolaryngology Head & Neck Surgery, LLC

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

Legal business name

NORTHWEST MISSISSIPPI OTOLARYNGOLOGY HEAD & NECK SURGERY, LLC

Practice address

7165 Getwell Rd
Building H, Suite 1
Southaven, MS 38672-9618

Phone

(662) 349-7676

Fax

(662) 349-7679

NPI assigned

Jun 15, 2010

Organization subpart

No

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

Authorized official

Name

Jeffrey Jordan Cunningham, M.D.

Title

Owner

Phone

(662) 349-7676

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MS, TN2 enrollments

Enrollment records 2

Locations

Practitioners 4

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

• Jeff Jordan Cunningham, M.D.

  • Otolaryngology Physician
  • Southaven, MS
  • NPI 1073798781

  TN

  Medicare reassignment Care Compare group NPD
• Julie Anne Gardino, AU.D., CCC-A

  • Audiologist
  • Germantown, TN
  • NPI 1205087905

  MS

  Medicare reassignment Care Compare group NPD
• Amanda Ring Cunningham, M.D,

  • Endocrinology, Diabetes & Metabolism Physician
  • Winston Salem, NC
  • NPI 1760663579
  NPD
• Sarah Womack Williams, AUD

  • Audiologist
  • Southaven, MS
  • NPI 1659653012
  NPD (past)

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

{
    "created_epoch": "1276560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276560000000",
    "number": "1790006674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7165 GETWELL RD",
            "address_2": "BUILDING H, SUITE 1",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386729618",
            "telephone_number": "662-349-7676",
            "fax_number": "662-349-7679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7165 GETWELL RD",
            "address_2": "BUILDING H, SUITE 1",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386729618",
            "telephone_number": "662-349-7676",
            "fax_number": "662-349-7679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST MISSISSIPPI OTOLARYNGOLOGY HEAD & NECK SURGERY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-15",
        "last_updated": "2010-06-15",
        "status": "A",
        "authorized_official_last_name": "CUNNINGHAM",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "JORDAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "662-349-7676",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• North Mississippi Dental Specialists, PLLC
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• North Mississippi Radiology Services LLC
• North Mississippi Telehealth Consulting LLC
• Northeast Mississippi Health Care, Inc
• Gregory Pearce Norwood, D.O.
• Larualee Fant Nowell, CCC-SLP
• April Nunnally, PHARMD
• Nurseplugconnect PLLC
• Jennifer M O'Bryan, MD

• Otolaryngology Physician in Southaven, MS
• Providers in Southaven, MS by specialty
• Otolaryngology Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2010; 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.