Organization Active NPI

Stonewater Addiction Recovery Center

  • Substance Abuse Rehabilitation Facility
  • Oxford, MS
National Provider Identifier
1891149738
Registry record updated Feb 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
STONEWATER ADDICTION RECOVERY CENTER
Practice address
38 County Road 362
Oxford, MS 38655-8514
Phone
(844) 520-2004
NPI assigned
Apr 18, 2016
Last updated
Feb 1, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2025

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

Authorized official

Name
Jeffrey Bryan Fikes
Title
Ceo
Phone
(662) 313-1800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

38 County Road 362
Oxford, MS 38655-8514

Mailing address

38 County Road 362
Oxford, MS 38655-8514
Phone (844) 520-2004

National Provider Directory

National Provider Directory
Tax ID family
Stonewater Addiction Recovery Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1460937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738368000000",
    "number": "1891149738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 COUNTY ROAD 362",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "386558514",
            "telephone_number": "844-520-2004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38 COUNTY ROAD 362",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "386558514",
            "telephone_number": "844-520-2004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STONEWATER ADDICTION RECOVERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-18",
        "last_updated": "2025-02-01",
        "certification_date": "2025-02-01",
        "status": "A",
        "authorized_official_last_name": "FIKES",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "BRYAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "662-313-1800"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oxford, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2025; 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.