NPIMap

Organization Active NPI

Pearl River County Hospital

Doing business as Primecare Family Health

  • Family Medicine Physician
  • Purvis, MS
National Provider Identifier
1881992055
Registry record updated Mar 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
17786 Issued in MS
Legal business name
PEARL RIVER COUNTY HOSPITAL
Doing business as
Primecare Family Health
Practice address
104 Highway 589
Purvis, MS 39475
Phone
(601) 242-3030
NPI assigned
Mar 11, 2011
Last updated
Mar 11, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2011

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

Authorized official

Name
Dr. Charles Griffith, MDNPI 1205891975
Title
Physician
Phone
(601) 310-3182

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 17786 MS Primary

Addresses

Primary practice location

104 Highway 589
Purvis, MS 39475

Mailing address

104 Highway 589
Purvis, MS 39475
Phone (601) 242-3030

Other names 1

  • Primecare Family Health Doing business as

National Provider Directory

National Provider Directory

Locations

305 W Moody St
Poplarville, MS 39470
Phone (601) 795-4345

104 Highway 589
Purvis, MS 39475
Phone (601) 242-3030

Practitioners & affiliated clinicians

Practitioners 21

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.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1299801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299801600000",
    "number": "1881992055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 HIGHWAY 589",
            "city": "PURVIS",
            "state": "MS",
            "postal_code": "39475",
            "telephone_number": "601-242-3030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 HIGHWAY 589",
            "city": "PURVIS",
            "state": "MS",
            "postal_code": "39475",
            "telephone_number": "601-242-3030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEARL RIVER COUNTY HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-11",
        "last_updated": "2011-03-11",
        "status": "A",
        "authorized_official_last_name": "GRIFFITH",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "601-310-3182",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MS",
            "license": "17786",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Primecare Family Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Purvis, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2011; 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.