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

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician
Group: 193400000X SINGLE SPECIALTY GROUP
207RG0100X
Pediatric Gastroenterology Physician
Group: 193200000X MULTI-SPECIALTY GROUP
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

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 12, 2021.

{
    "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

All providers in Flowood, MS · Pediatric Gastroenterology Physician in Mississippi

Sources for this page

Verify at the official NPI Registry.