Active NPI
Flowood Family Medicine, PLLC
Doing business as Medical Wellness and Nutrition Center of MS
- Family Medicine Physician
- Flowood, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 19643
- Legal business name
- FLOWOOD FAMILY MEDICINE, PLLC
- Doing business as
- Medical Wellness and Nutrition Center of MS
- Practice address
- 1 Layfair Dr
Suite 100
Flowood, MS 39232-9717 - Phone
- (601) 939-4008
- Fax
- (601) 939-4010
- NPI assigned
- Jan 30, 2008
- Last updated
- Aug 20, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Kevin M Young, M.D.
- Title
- Owner
- Phone
- (601) 939-4008
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 19643 | MS | Primary |
Addresses
Primary practice location
1 Layfair Dr
Suite 100
Flowood, MS 39232-9717
Mailing address
1 Layfair Dr
Suite 100
Flowood, MS 39232-9717
Phone (601) 939-4008
Other names 1
- Medical Wellness and Nutrition Center of MS
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Family Medicine Physician
- Flowood, MS
- NPI 1245433879
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201651200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1250726400000",
"number": "1891972022",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 LAYFAIR DR",
"address_2": "SUITE 100",
"city": "FLOWOOD",
"state": "MS",
"postal_code": "392329717",
"telephone_number": "601-939-4008",
"fax_number": "601-939-4010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 LAYFAIR DR",
"address_2": "SUITE 100",
"city": "FLOWOOD",
"state": "MS",
"postal_code": "392329717",
"telephone_number": "601-939-4008",
"fax_number": "601-939-4010"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FLOWOOD FAMILY MEDICINE, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-01-30",
"last_updated": "2009-08-20",
"status": "A",
"authorized_official_last_name": "YOUNG",
"authorized_official_first_name": "KEVIN",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "601-939-4008",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "MS",
"license": "19643",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Medical Wellness and Nutrition Center of MS",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Flowood, MS
- Amy Elizabeth Flischel, MD
- Carrie Rhianne Flowers, CFNP
- William Craig Flowers, M.D.
- Flowood Drug Company, LLC (Flowood Drug Company)
- Flowood Drug Company, LLC (Flowood Drug Company)
- Flowood HB Medical Services LLC (Merit Health River Oaks)
- Flowood Medical Management LLC (Evexia Vein Center)
- Flowood Mississippi Imaging LLC
- Flowood Pain Center, LLC
- Flowood River Oaks Hma Medical Group, LLC (Center of Infectious Disease Excellence)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 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.