Active NPI
Linda Chidester, MD
- Family Medicine Physician
- Saltillo, MS
National Provider Identifier
1982804597
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 07205
- Practice address
- 105 Town Creek Dr
Saltillo, MS 38866-7947 - Phone
- (662) 869-0033
- NPI assigned
- Jul 21, 2007
- Last updated
- Jul 22, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 07205 | MS | Primary |
Addresses
Primary practice location
105 Town Creek Dr
Saltillo, MS 38866-7947
Mailing address
PO Box 3395
Tupelo, MS 38803-3395
Phone (662) 570-4228
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 07205 | MS | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bolton Family Medical Clinic, P.C. | Family Medicine | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Saltillo, MS
- NPI 1811178577
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184976000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1185062400000",
"number": "1982804597",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3395",
"city": "TUPELO",
"state": "MS",
"postal_code": "388033395",
"telephone_number": "662-570-4228"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 TOWN CREEK DR",
"city": "SALTILLO",
"state": "MS",
"postal_code": "388667947",
"telephone_number": "662-869-0033"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHIDESTER",
"first_name": "LINDA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-07-21",
"last_updated": "2007-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MS",
"license": "07205",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saltillo, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.