Organization Active NPI

Elite Case Management Agency LLC

  • General Practice Physician
  • Jackson, MS
National Provider Identifier
1871221549
Registry record updated Oct 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
ELITE CASE MANAGEMENT AGENCY LLC
Practice address
1700 University Blvd Ste 8
Jackson, MS 39204-3907
Phone
(601) 863-0258
NPI assigned
Aug 10, 2022
Last updated
Oct 11, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2022

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

Authorized official

Name
Latosha McNair, RN
Title
Cno
Phone
(601) 863-0258

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

1700 University Blvd Ste 8
Jackson, MS 39204-3907

Mailing address

409 Bald Cypress CV
Terry, MS 39170-6002
Phone (601) 863-0258

National Provider Directory

National Provider Directory

Locations

1700 University Blvd
Ste 8
Jackson, MS 39204
Phone (601) 502-4245

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": "1660089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665446400000",
    "number": "1871221549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 BALD CYPRESS CV",
            "city": "TERRY",
            "state": "MS",
            "postal_code": "391706002",
            "telephone_number": "601-863-0258",
            "fax_number": "601-586-5693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 UNIVERSITY BLVD STE 8",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392043907",
            "telephone_number": "601-863-0258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE CASE MANAGEMENT AGENCY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-10",
        "last_updated": "2022-10-11",
        "certification_date": "2022-10-11",
        "status": "A",
        "authorized_official_last_name": "MCNAIR",
        "authorized_official_first_name": "LATOSHA",
        "authorized_official_title_or_position": "CNO",
        "authorized_official_telephone_number": "601-863-0258",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 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.