Organization Active NPI

Pause Medical, LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Oxford, MS
National Provider Identifier
1942019161
Registry record updated Jan 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
PAUSE MEDICAL, LLC
Practice address
101 Ricky D Britt Sr Blvd Ste 2a
Oxford, MS 38655-9111
Phone
(321) 286-7917
NPI assigned
Jan 2, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2025

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

Authorized official

Name
Robert Gammons
Title
Member
Phone
(321) 286-7916

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

101 Ricky D Britt Sr Blvd Ste 2a
Oxford, MS 38655-9111

Mailing address

101 Ricky D Britt Sr Blvd Ste 2a
Oxford, MS 38655-9111
Phone (321) 286-7917

National Provider Directory

National Provider Directory

Locations

101 Ricky D Britt SR Blvd
Ste 2A
Oxford, MS 38655
Phone (321) 286-7917

NPI Registry JSON

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

{
    "created_epoch": "1735776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735776000000",
    "number": "1942019161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 RICKY D BRITT SR BLVD STE 2A",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "386559111",
            "telephone_number": "321-286-7917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 RICKY D BRITT SR BLVD STE 2A",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "386559111",
            "telephone_number": "321-286-7917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUSE MEDICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-02",
        "last_updated": "2025-01-02",
        "certification_date": "2025-01-02",
        "status": "A",
        "authorized_official_last_name": "GAMMONS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "321-286-7916"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oxford, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2025; 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.