NPIMap

Organization Active NPI

Peak Healthcare

  • Family Nurse Practitioner
  • Summit, MS
National Provider Identifier
1881845444
Registry record updated Feb 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
PEAK HEALTHCARE
Practice address
4109 Highway 98 W
Summit, MS 39666-9132
Phone
(601) 276-3900
NPI assigned
Oct 1, 2008
Last updated
Feb 16, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2017

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

Authorized official

Name
Charles Bates
Title
Ceo
Phone
(601) 276-3900

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X
Family Nurse Practitioner 363LF0000X Primary

Addresses

Primary practice location

4109 Highway 98 W
Summit, MS 39666-9132

Mailing address

4109 Highway 98 W
Summit, MS 39666-9132

National Provider Directory

National Provider Directory

Locations

600 Corley Ave
Boaz, AL 35957
Phone (256) 503-8380

4540 Manhattan Rd
Jackson, MS 39206
Phone (601) 982-5505

209 Doug Rushing Dr
McComb, MS 39648
Phone (601) 308-5117

Practitioners & affiliated clinicians

Practitioners 9

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": "1222819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487203200000",
    "number": "1881845444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4109 HIGHWAY 98 W",
            "city": "SUMMIT",
            "state": "MS",
            "postal_code": "396669132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4109 HIGHWAY 98 W",
            "city": "SUMMIT",
            "state": "MS",
            "postal_code": "396669132",
            "telephone_number": "601-276-3900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEAK HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-01",
        "last_updated": "2017-02-16",
        "status": "A",
        "authorized_official_last_name": "BATES",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "601-276-3900"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Summit, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2017; 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.