Newsom Healthcare, Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

NEWSOM HEALTHCARE, INC

Practice address

2906 Goodman Rd W
Suite 109
Horn Lake, MS 38637-1291

Phone

(662) 393-8022

Fax

(662) 393-8052

NPI assigned

Aug 30, 2008

Organization subpart

No

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

Authorized official

Name

Mrs. Pam Alexander

Title

Administrator

Phone

(901) 756-5565

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• Lora Michelle Smith, FNP

  • Family Nurse Practitioner
  • Hernando, MS
  • NPI 1225323090
  NPD (past)

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

{
    "created_epoch": "1220054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353456000000",
    "number": "1972751154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3249 W SARAZENS CIR",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381250807",
            "telephone_number": "901-756-5565",
            "fax_number": "901-756-5564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2906 GOODMAN RD W",
            "address_2": "SUITE 109",
            "city": "HORN LAKE",
            "state": "MS",
            "postal_code": "386371291",
            "telephone_number": "662-393-8022",
            "fax_number": "662-393-8052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEWSOM HEALTHCARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-30",
        "last_updated": "2012-11-21",
        "status": "A",
        "authorized_official_last_name": "ALEXANDER",
        "authorized_official_first_name": "PAM",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "901-756-5565",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07823202",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Midsouth Medical Specialties LLC (Super Drugs)
• R. Alan Minks, D.C.
• Kelsey Barnett Mize
• Yolanda Murry, FNP-C
• Newsom Healthcare of Desoto County, LLC
• Sandra Newsom, FNP
• Jackie D Nickson, OTD, OTR/L
• Shelley Marie Nordstrom Hammond, PHARMD
• Patrick O'Briant
• Lanissa Danielle Odor, FNP-BC

• Family Medicine Physician in Horn Lake, MS
• Providers in Horn Lake, MS by specialty
• Family Medicine Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2012; 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.