Happy Tummies PA
Organization Active NPI Pediatric Gastroenterology Physician · Flowood, MS
NPI 1962094441 · NPPES record last updated Jul 12, 2021
Key facts
- NPI
- 1962094441
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pediatric Gastroenterology Physician 2080P0206X
- Legal business name
- HAPPY TUMMIES PA
- Practice address
- 1679 Old Fannin Rd Ste E
Flowood, MS 39232-8101 - Phone
- (601) 398-1949
- Fax
- (769) 216-3044
- NPI assigned
- Feb 6, 2021
- Organization subpart
- No
Authorized official
- Name
- Angela Shannon, MD
- Title
- Owner / Physician
- Phone
- (601) 398-1949
Practitioners 1
-
Taran Kaur, FNP
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician |
207RG0100X | |||
| Pediatric Gastroenterology Physician |
2080P0206X | Yes |
Addresses
Primary practice location
1679 Old Fannin Rd Ste E
Flowood, MS 39232-8101
Mailing address
1679 Old Fannin Rd Ste E
Flowood, MS 39232-8101
Phone (601) 398-1949
NPI Registry JSON
{
"created_epoch": "1612569600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1626048000000",
"number": "1962094441",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1679 OLD FANNIN RD STE E",
"city": "FLOWOOD",
"state": "MS",
"postal_code": "392328101",
"telephone_number": "601-398-1949",
"fax_number": "769-216-3044"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1679 OLD FANNIN RD STE E",
"city": "FLOWOOD",
"state": "MS",
"postal_code": "392328101",
"telephone_number": "601-398-1949",
"fax_number": "769-216-3044"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HAPPY TUMMIES PA",
"organizational_subpart": "NO",
"enumeration_date": "2021-02-06",
"last_updated": "2021-07-12",
"certification_date": "2021-06-24",
"status": "A",
"authorized_official_last_name": "SHANNON",
"authorized_official_first_name": "ANGELA",
"authorized_official_title_or_position": "OWNER / PHYSICIAN",
"authorized_official_telephone_number": "601-398-1949",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Gastroenterology",
"state": null,
"license": null,
"primary": false
},
{
"code": "2080P0206X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics, Pediatric Gastroenterology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Flowood, MS
- Grace Fairley Hampton
- Sheryl Hampton
- Alisia Chevese Hankins
- Christina Hansen
- Christopher Stephen Hanson
- Mary Harbin
- Natasha N Hardeman
- Angela Faith Hardin
- Walker Hardin
- Kenneth J. Hardy
All providers in Flowood, MS · Pediatric Gastroenterology Physician in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 12, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.