Organization Active NPI

Adeline After-Hour Care, LLC

  • Family Medicine Physician
  • Hattiesburg, MS
National Provider Identifier
1871829929
Registry record updated Oct 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
19875 Issued in MS
Legal business name
ADELINE AFTER-HOUR CARE, LLC
Practice address
1307 Adeline St
Hattiesburg, MS 39401-5028
Phone
(601) 336-7575
NPI assigned
Oct 26, 2009
Last updated
Oct 26, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2009

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

Authorized official

Name
Dr. Ikechukwu Okorie, M.DNPI 1265631907
Title
Owner
Phone
(305) 479-7945

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 19875 MS Primary

Addresses

Primary practice location

1307 Adeline St
Hattiesburg, MS 39401-5028

Mailing address

1307 Adeline St
Hattiesburg, MS 39401-5028
Phone (601) 336-7575

National Provider Directory

National Provider Directory

Locations

1307 Adeline St
Hattiesburg, MS 39401
Phone (601) 336-7575

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": "1256515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256515200000",
    "number": "1871829929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1307 ADELINE ST",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394015028",
            "telephone_number": "601-336-7575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1307 ADELINE ST",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394015028",
            "telephone_number": "601-336-7575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADELINE AFTER-HOUR CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-26",
        "last_updated": "2009-10-26",
        "status": "A",
        "authorized_official_last_name": "OKORIE",
        "authorized_official_first_name": "IKECHUKWU",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-479-7945",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MS",
            "license": "19875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hattiesburg, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 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.