NPIMap

Organization Active NPI

Mississippi Foot Specialists PC

  • Durable Medical Equipment & Medical Supplies
  • Belzoni, MS
National Provider Identifier
1972643708
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
MISSISSIPPI FOOT SPECIALISTS PC
Practice address
107 Church St
Belzoni, MS 39038
Phone
(662) 513-6600
Fax
(662) 513-0960
NPI assigned
Feb 8, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
R Michael Whitmore, DPM
Title
President
Phone
(662) 513-6600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU Primary

Addresses

Primary practice location

107 Church St
Belzoni, MS 39038

Mailing address

PO Box 1233
Oxford, MS 38655-1233
Phone (662) 513-6600

Other identifiers 2

IdentifierTypeStateIssuer
02333593MedicaidMS
4984180013OtherMSPALMETTO GBA DME SUPPLIER

National Provider Directory

National Provider Directory
Tax ID family
North Mississippi Foot Specialists PC19 organizations share this tax ID, including this one

Other organizations with this tax ID 18

Organizations that report the same tax identification number in the National Provider Directory.

View all 18

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1972643708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1233",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "386551233",
            "telephone_number": "662-513-6600",
            "fax_number": "662-513-0960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 CHURCH ST",
            "city": "BELZONI",
            "state": "MS",
            "postal_code": "39038",
            "telephone_number": "662-513-6600",
            "fax_number": "662-513-0960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSISSIPPI FOOT SPECIALISTS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WHITMORE",
        "authorized_official_first_name": "R",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "662-513-6600",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02333593",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA DME SUPPLIER",
            "identifier": "4984180013",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Belzoni, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.