Organization Active NPI

Care Plus Family Medicine - Highland Colony

  • Family Medicine Physician
  • Ridgeland, MS
National Provider Identifier
1790963536
Registry record updated Aug 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
CARE PLUS FAMILY MEDICINE - HIGHLAND COLONY
Practice address
100 Business Park Dr
Suites a & B
Ridgeland, MS 39157-6015
Phone
(601) 991-3040
Fax
(601) 991-3399
NPI assigned
Feb 4, 2008
Last updated
Aug 21, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2008

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

Authorized official

Name
Brad Sinclair
Title
Regional Director
Phone
(601) 936-3102

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

100 Business Park Dr
Suites a & B
Ridgeland, MS 39157-6015

Mailing address

100 Business Park Dr
Suites a & B
Ridgeland, MS 39157-6015
Phone (601) 991-3040

National Provider Directory

National Provider Directory
Tax ID family
Neurosurgical Associates40 organizations share this tax ID, including this one

Other organizations with this tax ID 39

Organizations that report the same tax identification number in the National Provider Directory.

View all 39

Locations

100 Business Park Dr
Ste A
Ridgeland, MS 39157
Phone (601) 991-3040

NPI Registry JSON

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

{
    "created_epoch": "1202083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219276800000",
    "number": "1790963536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 BUSINESS PARK DR",
            "address_2": "SUITES A & B",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391576015",
            "telephone_number": "601-991-3040",
            "fax_number": "601-991-3399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 BUSINESS PARK DR",
            "address_2": "SUITES A & B",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391576015",
            "telephone_number": "601-991-3040",
            "fax_number": "601-991-3399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARE PLUS FAMILY MEDICINE - HIGHLAND COLONY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-04",
        "last_updated": "2008-08-21",
        "status": "A",
        "authorized_official_last_name": "SINCLAIR",
        "authorized_official_first_name": "BRAD",
        "authorized_official_title_or_position": "REGIONAL DIRECTOR",
        "authorized_official_telephone_number": "601-936-3102"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgeland, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2008; 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.