Provision Processing Solutions LLC

Primary specialty

Physician Office Based Coding SpecialistTaxonomy code 246YC3302X

Legal business name

PROVISION PROCESSING SOLUTIONS LLC

Practice address

507 Springridge Rd Ste M
Clinton, MS 39056-5611

Phone

(601) 715-0772

NPI assigned

Feb 14, 2019

Organization subpart

No

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

Authorized official

Name

Renita Trenise Rouser

Title

Biller

Phone

(601) 715-0772

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1550102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550102400000",
    "number": "1982160073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6145 FERNCREEK DR",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392112728",
            "telephone_number": "601-715-0772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "507 SPRINGRIDGE RD STE M",
            "city": "CLINTON",
            "state": "MS",
            "postal_code": "390565611",
            "telephone_number": "601-715-0772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROVISION PROCESSING SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-14",
        "last_updated": "2019-02-14",
        "status": "A",
        "authorized_official_last_name": "ROUSER",
        "authorized_official_first_name": "RENITA",
        "authorized_official_middle_name": "TRENISE",
        "authorized_official_title_or_position": "BILLER",
        "authorized_official_telephone_number": "601-715-0772"
    },
    "taxonomies": [
        {
            "code": "246YC3302X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Health Information, Coding Specialist, Physician Office Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2019; 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.