Mississippi County Primary Care

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

E3411 Issued in AR

Legal business name

MISSISSIPPI COUNTY PRIMARY CARE

Practice address

602 W Union Ave Ste B
Osceola, AR 72370-3014

Phone

(901) 737-3071

NPI assigned

Apr 6, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tonya M Malady

Title

Billing

Phone

(901) 737-3071

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1922120195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "602 W UNION AVE STE B",
            "city": "OSCEOLA",
            "state": "AR",
            "postal_code": "723703014",
            "telephone_number": "901-737-3071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 W UNION AVE STE B",
            "city": "OSCEOLA",
            "state": "AR",
            "postal_code": "723703014",
            "telephone_number": "901-737-3071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSISSIPPI COUNTY PRIMARY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MALADY",
        "authorized_official_first_name": "TONYA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "BILLING",
        "authorized_official_telephone_number": "901-737-3071"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "E3411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Teresa Miner, MHPP
• Mississippi County Child Development Center
• Mississippi County Child Development Center
• Mississippi County Hospital System
• Mississippi County Hospital System (SMC Medical Center - Pro Fee)
• Mississippi County Primary Care Physicians
• Mississippi County Primary Care Physicians LLC
• Joshua Wayne Moore, APRN-CNP
• Nikki D Moore, MHPP
• Virginia Terazza Moretto, COTA/L

• Family Medicine Physician in Osceola, AR
• Providers in Osceola, AR by specialty
• Family Medicine Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.