Neighborhood Healthcare Providers

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

17488 Issued in MS

Legal business name

NEIGHBORHOOD HEALTHCARE PROVIDERS

Doing business as

Parkway Medical Group Inc

Practice address

2503 Glendale Ave
Hattiesburg, MS 39401-1073

Phone

(601) 582-5805

NPI assigned

Aug 27, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Akwasi A Amponsah, MD

Title

Medical Director

Phone

(601) 582-5805

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Parkway Medical Group Inc Doing business as

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

{
    "created_epoch": "1251331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251331200000",
    "number": "1811120512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2503 GLENDALE AVE",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394011073",
            "telephone_number": "601-582-5805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2503 GLENDALE AVE",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394011073",
            "telephone_number": "601-582-5805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEIGHBORHOOD HEALTHCARE PROVIDERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-27",
        "last_updated": "2009-08-27",
        "status": "A",
        "authorized_official_last_name": "AMPONSAH",
        "authorized_official_first_name": "AKWASI",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "601-582-5805",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "MS",
            "license": "17488",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07580347",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Parkway Medical Group Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Heather Necaise
• Joelle Wesner Necaise, NP
• Anthony Kyle Neely, DMD
• Lewis W Neese, MD
• Neighborhood Healthcare Providers
• Alice L Nelson, CMHT
• Ariale Marie Nelson, FNP-C
• Heidi D Nelson, LPC
• Kiper Cecil Nelson, M.D.
• Labrea Shavon Nelson, LCSW

• Internal Medicine Physician in Hattiesburg, MS
• Providers in Hattiesburg, MS by specialty
• Internal Medicine Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2009; 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.