NPIMap

Organization Active NPI

Making Moves in the Community, Incorporated

  • Family Medicine Physician
  • Mound Bayou, MS
National Provider Identifier
1801503388
Registry record updated Nov 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
MAKING MOVES IN THE COMMUNITY, INCORPORATED
Practice address
202 W Martin Luther King St
Mound Bayou, MS 38762-9775
Phone
(662) 545-2420
NPI assigned
Nov 3, 2022
Last updated
Nov 3, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2022

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

Authorized official

Name
Nora Cecelia Gough-DavisNPI 1740410661
Title
FNP
Phone
(662) 754-3301

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

202 W Martin Luther King St
Mound Bayou, MS 38762-9775

Mailing address

202 W Martin Luther King St
Mound Bayou, MS 38762-9775

Other names 1

  • I. T. Montgomery Elementary Clinic Other name

National Provider Directory

National Provider Directory
Tax ID family
Making Moves in the Community Incorporated6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1667433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667433600000",
    "number": "1801503388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 W MARTIN LUTHER KING ST",
            "city": "MOUND BAYOU",
            "state": "MS",
            "postal_code": "387629775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 W MARTIN LUTHER KING ST",
            "city": "MOUND BAYOU",
            "state": "MS",
            "postal_code": "387629775",
            "telephone_number": "662-545-2420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAKING MOVES IN THE COMMUNITY, INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-03",
        "last_updated": "2022-11-03",
        "certification_date": "2022-11-03",
        "status": "A",
        "authorized_official_last_name": "GOUGH-DAVIS",
        "authorized_official_first_name": "NORA",
        "authorized_official_middle_name": "CECELIA",
        "authorized_official_title_or_position": "FNP",
        "authorized_official_telephone_number": "662-754-3301"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "I. T. Montgomery Elementary Clinic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Mound Bayou, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2022; 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.