Organization Active NPI

Karen Plunkett, M.D.PC

  • Neurology Physician
  • Grenada, MS
National Provider Identifier
1982803128
Registry record updated Aug 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
13906 Issued in MS
Legal business name
KAREN PLUNKETT, M.D.PC
Practice address
1300 Sunset Dr Ste O
Grenada, MS 38901-4086
Phone
(662) 227-0998
Fax
(662) 227-0984
NPI assigned
Jul 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2007

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

Authorized official

Name
Karen Plunkett, M.D.NPI 1902919756
Title
Owner
Phone
(662) 227-0998

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
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X 13906 MS Primary

Addresses

Primary practice location

1300 Sunset Dr Ste O
Grenada, MS 38901-4086

Mailing address

1300 Sunset Dr Ste O
Grenada, MS 38901-4086
Phone (662) 227-0998

Other identifiers 1

IdentifierTypeStateIssuer
04570579MedicaidMS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040727001199 MS Part B Supplier - Clinic/Group Practice 5890765994 Receives reassigned benefits from 1 practitioner
Practice locations: Grenada, MS

National Provider Directory

National Provider Directory

Locations

1300 Sunset Dr
Ste O
Grenada, MS 38901
Phone (662) 227-0998

965 Avent Dr
Ste 105
Grenada, MS 38901
Phone (662) 227-0998

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1184630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186358400000",
    "number": "1982803128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 SUNSET DR STE O",
            "city": "GRENADA",
            "state": "MS",
            "postal_code": "389014086",
            "telephone_number": "662-227-0998",
            "fax_number": "662-227-0984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 SUNSET DR STE O",
            "city": "GRENADA",
            "state": "MS",
            "postal_code": "389014086",
            "telephone_number": "662-227-0998",
            "fax_number": "662-227-0984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAREN PLUNKETT, M.D.PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-17",
        "last_updated": "2007-08-06",
        "status": "A",
        "authorized_official_last_name": "PLUNKETT",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "662-227-0998",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MS",
            "license": "13906",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04570579",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grenada, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.