Active NPI
EMS Clinic
- Obstetrics & Gynecology Physician
- Greenwood, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- Legal business name
- EMS CLINIC
- Practice address
- 1509 Strong Ave
Greenwood, MS 38930 - Phone
- (662) 455-4411
- Fax
- (662) 455-9870
- NPI assigned
- Oct 20, 2006
- Last updated
- Apr 28, 2008
- Organization subpart
- Yes
- Parent organization
- GREENWOOD CLINIC FOR WOMEN;PLLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sr Evans Jr., MD
- Title
- Vice President
- Phone
- (662) 453-0532
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | MS | Primary |
Addresses
Primary practice location
1509 Strong Ave
Greenwood, MS 38930
Mailing address
1509 Strong Ave
Greenwood, MS 38930
Phone (662) 455-4411
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 09013939 | Medicaid | MS |
National Provider Directory
National Provider Directory- Part of
- Greenwood Clinic for Women PLLC
Locations
1509 Strong Ave
Greenwood, MS 38930
Phone (662) 453-0532
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Obstetrics & Gynecology Physician
- Greenwood, MS
- NPI 1073695839
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.
-
- Gynecology Physician
- Greenwood, MS
- NPI 1598847253
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161302400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1209340800000",
"number": "1982786745",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1509 STRONG AVE",
"city": "GREENWOOD",
"state": "MS",
"postal_code": "38930",
"telephone_number": "662-455-4411",
"fax_number": "662-455-9870"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1509 STRONG AVE",
"city": "GREENWOOD",
"state": "MS",
"postal_code": "38930",
"telephone_number": "662-455-4411",
"fax_number": "662-455-9870"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EMS CLINIC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "GREENWOOD CLINIC FOR WOMEN;PLLC",
"enumeration_date": "2006-10-20",
"last_updated": "2008-04-28",
"status": "A",
"authorized_official_last_name": "EVANS",
"authorized_official_first_name": "SR",
"authorized_official_title_or_position": "VICE PRESIDENT",
"authorized_official_telephone_number": "662-453-0532",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "MS",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "09013939",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}Other providers in Greenwood, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.