Organization Active NPI

Happy Tummies PA

  • Pediatric Gastroenterology Physician
  • Flowood, MS
National Provider Identifier
1962094441
Registry record updated Jul 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Gastroenterology PhysicianTaxonomy code 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
Last updated
Jul 12, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2021

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

Authorized official

Name
Angela Shannon, MDNPI 1407067739
Title
Owner / Physician
Phone
(601) 398-1949

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X
Pediatric Gastroenterology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2080P0206X Primary

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

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "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

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2021; 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.