Organization Active NPI

Clinical Neurology & Electrodiagnostics, P.a.

  • Medical Specialty Clinic/Center
  • Ridgeland, MS
National Provider Identifier
1912233701
Registry record updated Sep 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
Legal business name
CLINICAL NEUROLOGY & ELECTRODIAGNOSTICS, P.A.
Practice address
135 Bridgewater Xing
Ridgeland, MS 39157-8602
Phone
(601) 850-6831
Fax
(601) 850-6831
NPI assigned
Oct 28, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2014

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

Authorized official

Name
Dr. Nathaniel O Lawson, M.D.
Title
President
Phone
(601) 850-6831

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X Primary

Addresses

Primary practice location

135 Bridgewater Xing
Ridgeland, MS 39157-8602

Mailing address

PO Box 982
Ridgeland, MS 39158-0982
Phone (601) 850-6831

Other identifiers 1

IdentifierTypeStateIssuer
08376542MedicaidMS

Other names 1

  • CNEDx Doing business as

National Provider Directory

National Provider Directory

Locations

514 E Woodrow Wilson Ave
#H
Jackson, MS 39216
Phone (601) 850-6831

NPI Registry JSON

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

{
    "created_epoch": "1256688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412035200000",
    "number": "1912233701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 982",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391580982",
            "telephone_number": "601-850-6831",
            "fax_number": "601-850-6831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 BRIDGEWATER XING",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391578602",
            "telephone_number": "601-850-6831",
            "fax_number": "601-850-6831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICAL NEUROLOGY & ELECTRODIAGNOSTICS, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-28",
        "last_updated": "2014-09-30",
        "status": "A",
        "authorized_official_last_name": "LAWSON",
        "authorized_official_first_name": "NATHANIEL",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "601-850-6831",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "08376542",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CNEDx",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ridgeland, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2014; 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.