Organization Active NPI

Central Ms OBGYN Associates, PLLC

  • Obstetrics & Gynecology Physician
  • Jackson, MS
National Provider Identifier
1891920526
Registry record updated May 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
18575 Issued in MS
Legal business name
CENTRAL MS OBGYN ASSOCIATES, PLLC
Practice address
1860 Chadwick Dr
Suite 300
Jackson, MS 39204-3463
Phone
(601) 376-2999
Fax
(601) 376-2989
NPI assigned
May 26, 2009
Last updated
May 26, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2009

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

Authorized official

Name
Dr. Samuel Floyd Brown, MDNPI 1104810605
Title
Owner/Medical Doctor
Phone
(601) 376-2999

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
Obstetrics & Gynecology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207V00000X 18575 MS Primary

Addresses

Primary practice location

1860 Chadwick Dr
Suite 300
Jackson, MS 39204-3463

Mailing address

1860 Chadwick Dr
Suite 300
Jackson, MS 39204-3463
Phone (601) 376-2999

Other identifiers 1

IdentifierTypeStateIssuer
02224073MedicaidMS

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1243296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243296000000",
    "number": "1891920526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1860 CHADWICK DR",
            "address_2": "SUITE 300",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392043463",
            "telephone_number": "601-376-2999",
            "fax_number": "601-376-2989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1860 CHADWICK DR",
            "address_2": "SUITE 300",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392043463",
            "telephone_number": "601-376-2999",
            "fax_number": "601-376-2989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL MS OBGYN ASSOCIATES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-26",
        "last_updated": "2009-05-26",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "FLOYD",
        "authorized_official_title_or_position": "OWNER/MEDICAL DOCTOR",
        "authorized_official_telephone_number": "601-376-2999",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "MS",
            "license": "18575",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02224073",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2009; 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.