Ima Medical Home Team LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

07454 Issued in MS

Legal business name

IMA MEDICAL HOME TEAM LLC

Practice address

551 Azalea Dr
Oxford, MS 38655-7900

Phone

(662) 234-0332

NPI assigned

Aug 1, 2014

Organization subpart

No

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

Authorized official

Name

Milton D Hobbs, M.D.

Title

President

Phone

(662) 234-0332

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1406851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420156800000",
    "number": "1881002996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 HERITAGE DRIVE",
            "address_2": "SUITE 110",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750693379",
            "telephone_number": "855-860-2109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "551 AZALEA DR",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "386557900",
            "telephone_number": "662-234-0332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMA MEDICAL HOME TEAM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-01",
        "last_updated": "2015-01-02",
        "status": "A",
        "authorized_official_last_name": "HOBBS",
        "authorized_official_first_name": "MILTON",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "662-234-0332",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "MS",
            "license": "07454",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "MS",
            "license": "13540",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "MS",
            "license": "13892",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tyler M Hunter, DPT
• Jessica Hutchison, PMHNP
• Kenny Nonso Ikebudu, DO, FACOI
• Timiko Martine Ilion, MED
• Ima at Home LLC
• Impact Health LLC
• Impacting Lives LLC
• In Focus Psychiatry LLC
• Charles Inman, RPH
• Rebecca Inman, CMHC INTERN

• Internal Medicine Physician in Oxford, MS
• Providers in Oxford, 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 Jan 2, 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.