Mid-South Healthnet

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

MID-SOUTH HEALTHNET

Practice address

5909 Shelby Oaks Drive Suite 100
Memphis, TN 38134

Phone

(901) 383-9193

Fax

(901) 383-9195

NPI assigned

Jun 11, 2015

Last updated

Jun 15, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Marlin Angell

Title

Chief Executive Officer

Phone

(901) 383-9193

Specialties & licenses 2

Addresses

Other identifiers 1

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

{
    "created_epoch": "1433980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434326400000",
    "number": "1821479254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5909 SHELBY OAKS DRIVE SUITE 100",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "38134",
            "telephone_number": "901-383-9193",
            "fax_number": "901-383-9195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5909 SHELBY OAKS DRIVE SUITE 100",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "38134",
            "telephone_number": "901-383-9193",
            "fax_number": "901-383-9195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID-SOUTH HEALTHNET",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-11",
        "last_updated": "2015-06-15",
        "status": "A",
        "authorized_official_last_name": "ANGELL",
        "authorized_official_first_name": "MARLIN",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "901-383-9193",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "TN",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q013314",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mid-South Foot and Ankle Specialists, PLLC
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• Mid-South Gastroenterology Group, Inc.
• Mid-South Geriatrics & Palliative Care PLLC
• Mid-South Health Services, LLC (Ashton Place Health & Rehab Center)
• Mid-South Home Health Services, LLC (BrightStar Care of Memphis)
• Mid-South Home Health, LLC (Acti-Kare Responsive In-Home Care)
• Mid-South Infectious Disease Associates, PLLC
• Mid-South Maternal Fetal Medicine PC
• Mid-South Medical Professionals, P.a.

• Community/Behavioral Health Agency in Memphis, TN
• Providers in Memphis, TN by specialty
• Community/Behavioral Health Agency in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2015; 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.