Peterkin and Associates of Mississippi

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

PETERKIN AND ASSOCIATES OF MISSISSIPPI

Practice address

5155 Galaxie Dr Ste F
Jackson, MS 39206-4309

Phone

(910) 759-9472

NPI assigned

Mar 2, 2017

Last updated

Mar 2, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Alice Smith, ED.DNPI 1386186591

Title

Ceo

Phone

(910) 759-9472

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Alice Smith, EDD

  • Mental Health Counselor
  • Moss Point, MS
  • NPI 1386186591
  Authorized official Same address or phone

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

{
    "created_epoch": "1488412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488412800000",
    "number": "1952841439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5155 GALAXIE DR STE F",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392064309",
            "telephone_number": "910-759-9472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5155 GALAXIE DR STE F",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392064309",
            "telephone_number": "910-759-9472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETERKIN AND ASSOCIATES OF MISSISSIPPI",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-02",
        "last_updated": "2017-03-02",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "ALICE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "910-759-9472",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ED.D"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taylor Rae Perry, PHD
• Markedia Perryman
• Xavier Jordan Person
• Personic Mississippi PLLC
• Peterkin and Associates of Mississippi
• Peterkin and Associates of Mississippi Inc
• Phillip Michael Peterman, MD
• Roma Bryan Peters, FNP
• Cassandra Ward Peterson
• Anthony Bedear Petro, M.D.

• Community/Behavioral Health Agency in Jackson, MS
• Providers in Jackson, MS by specialty
• Community/Behavioral Health Agency in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2017; 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.