Organization Active NPI

Real Solutilons, LLC

  • Health Maintenance Organization
  • Jackson, MS
National Provider Identifier
1942591128
Registry record updated Apr 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
Legal business name
REAL SOLUTILONS, LLC
Practice address
831 Hwy 80 W.
Jackson, MS 39204
Phone
(601) 949-5693
Fax
(601) 949-5695
NPI assigned
Apr 22, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2011

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

Authorized official

Name
Latricia Overton Dixon
Title
Administrator
Phone
(601) 949-5693

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Exclusive Provider Organization 302F00000X
Health Maintenance Organization 302R00000X Primary

Addresses

Primary practice location

831 Hwy 80 W.
Jackson, MS 39204

Mailing address

831 Hwy 80 W.
Jackson, MS 39204
Phone (601) 949-5693

National Provider Directory

National Provider Directory

Locations

831 Hwy 80 W
Jackson, MS 39204
Phone (601) 949-5693

NPI Registry JSON

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

{
    "created_epoch": "1303430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303430400000",
    "number": "1942591128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "831 HWY 80 W.",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "39204",
            "telephone_number": "601-949-5693",
            "fax_number": "601-949-5695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "831 HWY 80 W.",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "39204",
            "telephone_number": "601-949-5693",
            "fax_number": "601-949-5695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REAL SOLUTILONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-22",
        "last_updated": "2011-04-22",
        "status": "A",
        "authorized_official_last_name": "DIXON",
        "authorized_official_first_name": "LATRICIA",
        "authorized_official_middle_name": "OVERTON",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "601-949-5693"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MS

Sources for this page

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