Active NPI
Flowood River Oaks Hma Medical Group, LLC
- Internal Medicine Physician
- Flowood, MS
National Provider Identifier
1801128798
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- FLOWOOD RIVER OAKS HMA MEDICAL GROUP, LLC
- Practice address
- 1030 River Oaks Dr
Flowood, MS 39232-9553 - Phone
- (239) 598-3131
- Fax
- (239) 598-9433
- NPI assigned
- Feb 3, 2010
- Organization subpart
- Yes
- Parent organization
- HEALTH MANAGEMENT ASSOCIATES, INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jennifer L Jackson
- Title
- Senior Director Provider Enrollment
- Phone
- (615) 465-7000
Specialties & licenses 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | |||
| Family Medicine Physician | 207Q00000X | |||
| Internal Medicine Physician | 207R00000X | Primary | ||
| Otolaryngology Physician | 207Y00000X | |||
| Psychiatry Physician | 2084P0800X | |||
| Hospitalist Physician | 208M00000X | |||
| Audiologist | 231H00000X | |||
| Nurse Practitioner | 363L00000X |
Addresses
Primary practice location
1030 River Oaks Dr
Flowood, MS 39232-9553
Mailing address
PO Box 689022
Franklin, TN 37068-9022
Phone (615) 465-7000
National Provider Directory
National Provider DirectoryLocations
1030 River Oaks Dr
Jackson, MS 39232
Phone (601) 376-2165
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1265155200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1673395200000",
"number": "1801128798",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 689022",
"city": "FRANKLIN",
"state": "TN",
"postal_code": "370689022",
"telephone_number": "615-465-7000",
"fax_number": "615-628-6877"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1030 RIVER OAKS DR",
"city": "FLOWOOD",
"state": "MS",
"postal_code": "392329553",
"telephone_number": "239-598-3131",
"fax_number": "239-598-9433"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FLOWOOD RIVER OAKS HMA MEDICAL GROUP, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "HEALTH MANAGEMENT ASSOCIATES, INC",
"enumeration_date": "2010-02-03",
"last_updated": "2023-01-11",
"certification_date": "2023-01-11",
"status": "A",
"authorized_official_last_name": "JACKSON",
"authorized_official_first_name": "JENNIFER",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "SENIOR DIRECTOR PROVIDER ENROLLMENT",
"authorized_official_telephone_number": "615-465-7000"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Emergency Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "207Y00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Otolaryngology",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": null,
"license": null,
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Hospitalist",
"state": null,
"license": null,
"primary": false
},
{
"code": "231H00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Audiologist",
"state": null,
"license": null,
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Flowood, MS
- Flowood Pain Center, LLC
- Flowood River Oaks Hma Medical Group, LLC
- Flowood River Oaks Hma Medical Group, LLC
- Flowood River Oaks Hma Medical Group, LLC
- Flowood River Oaks Hma Medical Group, LLC
- Flowood Surgery Center LLC
- Flowood Vascular Access ASC LLC
- Flowood Vascular Access Center Inc
- Flowood Vascular Access, LLC
- Reginald Ford
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.