Durant Primary Care Clinic

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

14192 Issued in MS

Legal business name

DURANT PRIMARY CARE CLINIC

Practice address

22741 Bowling Green Rd
Lexington, MS 39095

Phone

(662) 834-1961

Fax

(662) 834-1962

NPI assigned

Nov 2, 2009

Organization subpart

Yes

Parent organization

DURANT PRIMARY CARE CLINICAs reported in NPPES

Name

Ms. Shelia Ann Snow

Title

Office Manager

Phone

(662) 834-1961

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Durant Primary Care Clinic

  • Primary Care Clinic/Center
  • Durant, MS
  • NPI 1124100813
  NPPES parent name

Part of

Durant Primary Care Clinic

Locations

• LEXINGTON MEDICAL CLINIC Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 1, 2011.

{
    "created_epoch": "1257120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298937600000",
    "number": "1942536552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22741 HWY 12 BOWLING GREEN RD",
            "city": "LEXINGTON",
            "state": "MS",
            "postal_code": "39095",
            "telephone_number": "662-834-1961",
            "fax_number": "662-834-1962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22741 BOWLING GREEN RD",
            "city": "LEXINGTON",
            "state": "MS",
            "postal_code": "39095",
            "telephone_number": "662-834-1961",
            "fax_number": "662-834-1962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DURANT PRIMARY CARE CLINIC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DURANT PRIMARY CARE CLINIC",
        "enumeration_date": "2009-11-02",
        "last_updated": "2011-03-01",
        "status": "A",
        "authorized_official_last_name": "SNOW",
        "authorized_official_first_name": "SHELIA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "662-834-1961",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "MS",
            "license": "14192",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00115622",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LEXINGTON MEDICAL CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Virginia Dayle Diffey, R.PH.
• Laura Dixon, DMD
• Harsh Doshi, M.D.
• Ciera N Draine, LCSW
• Hayley N Drennan, COTA/L
• Randi Hutchinson Edwards, MS, CCC-SLP
• Melanie Eiland, NP
• William Scott Elwood, M.D.
• Alisha Epps
• Faithful Hands Home Care LLC

• All providers in Lexington, MS
• Clinic/Center in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2011; 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.