NPIMap

Organization Active NPI

Natchez Regional Clinic

  • Family Medicine Physician
  • Natchez, MS
National Provider Identifier
1891982435
Registry record updated Dec 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
NATCHEZ REGIONAL CLINIC
Practice address
46 SGT. S. Prentiss Dr.
Suite 201
Natchez, MS 39120
Phone
(601) 442-3701
Fax
(601) 442-4785
NPI assigned
Sep 27, 2007
Last updated
Dec 3, 2009By the provider in NPPES
Organization subpart
Yes
Parent organization
NATCHEZ REGIONAL MEDICAL CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 3, 2009

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

Authorized official

Name
Charles Mock
Title
Cfo
Phone
(601) 443-2722

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary
Obstetrics & Gynecology Physician 207V00000X NU
Surgery Physician 208600000X NU
Vascular Surgery Physician 2086S0129X NU

Addresses

Primary practice location

46 SGT. S. Prentiss Dr.
Suite 201
Natchez, MS 39120

Mailing address

46 SGT. S. Prentiss Dr.
Suite 201
Natchez, MS 39120
Phone (601) 442-3701

Other names 1

  • Natchez Regional Clinic - OBGYN Other name

National Provider Directory

National Provider Directory
Part of
Natchez Regional Med Ce

Locations

136 Jefferson Davis Blvd
Natchez, MS 39120
Phone (601) 361-9993

Practitioners & affiliated clinicians

Practitioners 15

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 15

NPI Registry JSON

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

{
    "created_epoch": "1190851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259798400000",
    "number": "1891982435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 SGT. S. PRENTISS DR.",
            "address_2": "SUITE 201",
            "city": "NATCHEZ",
            "state": "MS",
            "postal_code": "39120",
            "telephone_number": "601-442-3701",
            "fax_number": "601-442-4785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46 SGT. S. PRENTISS DR.",
            "address_2": "SUITE 201",
            "city": "NATCHEZ",
            "state": "MS",
            "postal_code": "39120",
            "telephone_number": "601-442-3701",
            "fax_number": "601-442-4785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATCHEZ REGIONAL CLINIC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NATCHEZ REGIONAL MEDICAL CENTER",
        "enumeration_date": "2007-09-27",
        "last_updated": "2009-12-03",
        "status": "A",
        "authorized_official_last_name": "MOCK",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "601-443-2722"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Natchez Regional Clinic - OBGYN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Natchez, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 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.