NPIMap

Organization Active NPI

Medical Foundation of Central Ms Inc.

Doing business as Baptist Heart Cleveland

  • Cardiovascular Disease Physician
  • Cleveland, MS
National Provider Identifier
1912459223
Registry record updated Nov 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
MEDICAL FOUNDATION OF CENTRAL MS INC.
Doing business as
Baptist Heart Cleveland
Practice address
903 E Sunflower Rd
Suite 500
Cleveland, MS 38732-2835
Phone
(601) 969-6404
Fax
(601) 944-9780
NPI assigned
Nov 3, 2016
Last updated
Nov 3, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2016

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

Authorized official

Name
Amy Grissett
Title
Director of Operations
Phone
(601) 944-1717

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X NU Primary

Addresses

Primary practice location

903 E Sunflower Rd
Suite 500
Cleveland, MS 38732-2835

Mailing address

903 E Sunflower Rd
Suite 500
Cleveland, MS 38732-2835
Phone (601) 969-6404

Other names 1

  • Baptist Heart Cleveland Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Medical Foundation of Central Ms Inc43 organizations share this tax ID, including this one

Other organizations with this tax ID 42

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

View all 42

Locations

903 E Sunflower Rd
Ste 500
Cleveland, MS 38732

NPI Registry JSON

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

{
    "created_epoch": "1478131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478131200000",
    "number": "1912459223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "903 E SUNFLOWER RD",
            "address_2": "SUITE 500",
            "city": "CLEVELAND",
            "state": "MS",
            "postal_code": "387322835",
            "telephone_number": "601-969-6404",
            "fax_number": "601-944-9780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "903 E SUNFLOWER RD",
            "address_2": "SUITE 500",
            "city": "CLEVELAND",
            "state": "MS",
            "postal_code": "387322835",
            "telephone_number": "601-969-6404",
            "fax_number": "601-944-9780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL FOUNDATION OF CENTRAL MS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-03",
        "last_updated": "2016-11-03",
        "status": "A",
        "authorized_official_last_name": "GRISSETT",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "601-944-1717"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Baptist Heart Cleveland",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cleveland, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2016; 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.