At Home Primary Care of Ms LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

AT HOME PRIMARY CARE OF MS LLC

Practice address

295 Archie Smith Rd
Hattiesburg, MS 39402-9322

Phone

(601) 207-1009

NPI assigned

Aug 24, 2022

Organization subpart

No

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

Authorized official

Name

Lisa Deloris Slade, DNP, FNPNPI 1013080027

Title

Nurse Practitioner

Phone

(601) 270-1009

Specialties & licenses 1

Addresses

Practitioners 1

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

• Lisa Deloris Slade, FNP-BC

  • Family Nurse Practitioner
  • Hattiesburg, MS
  • NPI 1013080027
  NPD Authorized official

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

{
    "created_epoch": "1661299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661299200000",
    "number": "1801515622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "295 ARCHIE SMITH RD",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394029322",
            "telephone_number": "601-207-1009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "295 ARCHIE SMITH RD",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394029322",
            "telephone_number": "601-207-1009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AT HOME PRIMARY CARE OF MS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-24",
        "last_updated": "2022-08-24",
        "certification_date": "2022-08-24",
        "status": "A",
        "authorized_official_last_name": "SLADE",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "DELORIS",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "601-270-1009",
        "authorized_official_credential": "DNP, FNP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ty O'Keith Ashley, P.T.
• Edward Askew III, MD
• Aspirations Therapy Services, LLC
• Michael Solomon Assefa, MD
• Asthma & Allergy Clinic of Hattiesburg, PLLC
• Sriharsha C Athota, M.D.
• Latasha Atkins
• George Michael Atkinson, MD
• Tonya Kay Atkinson
• Daniel Attaway, DNP, CRNA

• Primary Care Clinic/Center in Hattiesburg, MS
• Providers in Hattiesburg, MS by specialty
• Primary Care Clinic/Center in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 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.