Mississippi Em I Medical Services

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Legal business name

MISSISSIPPI EM I MEDICAL SERVICES

Practice address

350 Crossgates Blvd
Brandon, MS 39042-2601

Phone

(601) 824-8500

Fax

(601) 824-8358

NPI assigned

Jun 19, 2008

Last updated

Jun 19, 2008By 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

Gregory Byrne, M.D.

Title

Owner

Phone

(214) 712-2000

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1213833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213833600000",
    "number": "1871754119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 37731",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191015031",
            "telephone_number": "800-355-0808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 CROSSGATES BLVD",
            "city": "BRANDON",
            "state": "MS",
            "postal_code": "390422601",
            "telephone_number": "601-824-8500",
            "fax_number": "601-824-8358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSISSIPPI EM I MEDICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-19",
        "last_updated": "2008-06-19",
        "status": "A",
        "authorized_official_last_name": "BYRNE",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-712-2000",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Trudy Blaylock Miller
• Shirley Minor, SLP
• Mississippi Commcare Corporation a Non Profit Corporation (Brandon Community Care Center)
• Mississippi CVS Pharmacy LLC (CVS Pharmacy # 05865)
• Mississippi Dental Center of Brandon, LLC
• Mississippi Emergency Physician Services LLC
• Mississippi Emergency Physician Services LLC
• Mississippi First Assist, Limited Liability Company
• Mississippi Hma Hospitalists, LLC (Crossgates River Oaks Hospital)
• Mississippi State Department of Health

• Physician Assistant in Brandon, MS
• Providers in Brandon, MS by specialty
• Physician Assistant in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2008; 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.