Individual provider Active NPI

Price Conerly Chadwick

  • Student in an Organized Health Care Education/Training Program
  • Flowood, MS
National Provider Identifier
1942104062
Registry record updated Oct 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
1040 River Oaks Dr Ste 202
Flowood, MS 39232-9534
Phone
(601) 353-9900
NPI assigned
Oct 3, 2026
Last updated
Oct 3, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X MS Primary

Addresses

Primary practice location

1040 River Oaks Dr Ste 202
Flowood, MS 39232-9534

Mailing address

1 Beacon Hill Rd
Madison, MS 39110-9109
Phone (601) 672-4060

Other practice location 1

501 Marshall St Ste 301
Jackson, MS 39202-1687
Phone (601) 353-9900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1790985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790985600000",
    "number": "1942104062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 BEACON HILL RD",
            "city": "MADISON",
            "state": "MS",
            "postal_code": "391109109",
            "telephone_number": "601-672-4060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 RIVER OAKS DR STE 202",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392329534",
            "telephone_number": "601-353-9900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "501 Marshall St Ste 301",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "MS",
            "postal_code": "392021687",
            "country_code": "US",
            "telephone_number": "601-353-9900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHADWICK",
        "first_name": "PRICE",
        "middle_name": "CONERLY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-10-03",
        "last_updated": "2026-10-03",
        "certification_date": "2026-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "MS",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flowood, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.