Active NPI
Geraldine McElroy
- Advanced Practice Midwife
- Canton, MS
National Provider Identifier
1942344866
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- R626716
- Practice address
- 317 N Union St
Canton, MS 39046-3730 - Phone
- (601) 859-3316
- NPI assigned
- Feb 16, 2007
- Last updated
- Jul 9, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | R626716 | MS | Primary |
Addresses
Primary practice location
317 N Union St
Canton, MS 39046-3730
Mailing address
317 N Union St
Canton, MS 39046-3730
Phone (601) 859-3316
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00124250 | Medicaid | MS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R626716 | MS | MD | Advanced Practice Midwife |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1942344866",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "317 N UNION ST",
"city": "CANTON",
"state": "MS",
"postal_code": "390463730",
"telephone_number": "601-859-3316"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "317 N UNION ST",
"city": "CANTON",
"state": "MS",
"postal_code": "390463730",
"telephone_number": "601-859-3316"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCELROY",
"first_name": "GERALDINE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-16",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "MS",
"license": "R626716",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00124250",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}Other providers in Canton, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.