NPIMap

Organization Active NPI

Tutwiler Clinic Inc

  • Family Medicine Physician
  • Tutwiler, MS
National Provider Identifier
1811008261
Registry record updated Apr 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
10092 Issued in MS
Legal business name
TUTWILER CLINIC INC
Practice address
205 Alma St
Tutwiler, MS 38963-0462
Phone
(662) 345-8334
Fax
(662) 345-8336
NPI assigned
Aug 31, 2006
Last updated
Apr 30, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2012

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

Authorized official

Name
Anne E Brooks, DONPI 1225190689
Title
Medical Director Tutwiler Clinic in
Phone
(662) 345-8334

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 10092 MS Primary

Addresses

Primary practice location

205 Alma St
Tutwiler, MS 38963-0462

Mailing address

205 Alma St
PO Box 462
Tutwiler, MS 38963
Phone (662) 345-8334

Other identifiers 1

IdentifierTypeStateIssuer
09014072MedicaidMS

National Provider Directory

National Provider Directory

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

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": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335744000000",
    "number": "1811008261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 ALMA ST",
            "address_2": "PO BOX 462",
            "city": "TUTWILER",
            "state": "MS",
            "postal_code": "38963",
            "telephone_number": "662-345-8334",
            "fax_number": "662-345-8336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 ALMA ST",
            "city": "TUTWILER",
            "state": "MS",
            "postal_code": "389630462",
            "telephone_number": "662-345-8334",
            "fax_number": "662-345-8336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TUTWILER CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2012-04-30",
        "status": "A",
        "authorized_official_last_name": "BROOKS",
        "authorized_official_first_name": "ANNE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR TUTWILER CLINIC IN",
        "authorized_official_telephone_number": "662-345-8334",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MS",
            "license": "10092",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09014072",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tutwiler, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2012; 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.