Active NPI
Cirila Reyes, M.D.
- Family Medicine Physician
- Poplarville, MS
National Provider Identifier
1881837128
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 09382
- Practice address
- 1222 S Main Street
Poplarville Family Medical Clinic
Poplarville, MS 39470 - Phone
- (601) 795-9320
- Fax
- (601) 795-9876
- NPI assigned
- Apr 16, 2009
- Last updated
- Feb 11, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 09382 | MS | Primary |
Addresses
Primary practice location
1222 S Main Street
Poplarville Family Medical Clinic
Poplarville, MS 39470
Mailing address
1222 S Main Street
Poplarville Family Medical Clinic
Poplarville, MS 39470
Phone (601) 795-9320
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0019965 | Medicaid | MS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stone County Hospital, Inc | Past | Accepting new patients | |
| Outreach Health Services,Inc. | Past | Accepting new patients | |
| Stone County Hospital, Inc. | Past | Accepting new patients | |
| Outreach Health Services,Inc. | Past | Accepting new patients |
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Jasper Medical Clinic
- Health Maintenance Organization
- Heidelberg, MS
- NPI 1255521480
-
- Community Health Clinic/Center
- Shubuta, MS
- NPI 1548359565
-
- Critical Access Hospital Clinic/Center
- Poplarville, MS
- NPI 1306983903
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1239840000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1265846400000",
"number": "1881837128",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1222 S MAIN STREET",
"address_2": "POPLARVILLE FAMILY MEDICAL CLINIC",
"city": "POPLARVILLE",
"state": "MS",
"postal_code": "39470",
"telephone_number": "601-795-9320",
"fax_number": "601-795-9876"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1222 S MAIN STREET",
"address_2": "POPLARVILLE FAMILY MEDICAL CLINIC",
"city": "POPLARVILLE",
"state": "MS",
"postal_code": "39470",
"telephone_number": "601-795-9320",
"fax_number": "601-795-9876"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REYES",
"first_name": "CIRILA",
"name_prefix": "Mrs.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-04-16",
"last_updated": "2010-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MS",
"license": "09382",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0019965",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Poplarville, MS
- Poplarville Eye Clinic, LLC
- Poplarville Family Chiropractic
- Poplarville Home Medical LLC
- Poplarville Special Separate Municipal School District
- Prime Med Serves
- RH Emergency Medicine of Pearl River LLC
- RH Hospitalist Medicine of Pearl River LLC
- Katherine E Robbins, OTD
- Bethany Saucier, COTA
- Cynthia B. Shawl, CNM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.