NPIMap

Organization Active NPI

Natchez After Hours Clinic, P.L.L.C.

  • General Practice Physician
  • Natchez, MS
National Provider Identifier
1982634051
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
15913 Issued in MS
Legal business name
NATCHEZ AFTER HOURS CLINIC, P.L.L.C.
Practice address
46 Seargent Prentess Drive
Suite 101
Natchez, MS 39120-4725
Phone
(601) 442-1900
Fax
(601) 442-1908
NPI assigned
Jul 4, 2006
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
Dr. Blane Andrew Mire, MDNPI 1326082397
Title
Owner
Phone
(601) 446-7342

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 15913 MS Primary

Addresses

Primary practice location

46 Seargent Prentess Drive
Suite 101
Natchez, MS 39120-4725

Mailing address

PO Box 18261
Natchez, MS 39122-8261
Phone (601) 442-1900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060907000522 MS Part B Supplier - Clinic/Group Practice 0648274555 Receives reassigned benefits from 6 practitioners
1 other NPI on this enrollment
Practice locations: Natchez, MS

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
25D1056727Natchez After Hours Clinic, PLLC46 Seargent Prentiss Drive Suite 101, Natchez, MS 39120ComplianceAug 4, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 16

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.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1982634051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 18261",
            "city": "NATCHEZ",
            "state": "MS",
            "postal_code": "391228261",
            "telephone_number": "601-442-1900",
            "fax_number": "601-442-1908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46 SEARGENT PRENTESS DRIVE",
            "address_2": "SUITE 101",
            "city": "NATCHEZ",
            "state": "MS",
            "postal_code": "391204725",
            "telephone_number": "601-442-1900",
            "fax_number": "601-442-1908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATCHEZ AFTER HOURS CLINIC, P.L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MIRE",
        "authorized_official_first_name": "BLANE",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-446-7342",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "MS",
            "license": "15913",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Natchez, 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.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.