NPIMap

Organization Active NPI

Dra Health Services LLC

Doing business as DRA Heatlh Service

  • Early Intervention Provider Agency
  • Madison, MS
National Provider Identifier
1982902797
Registry record updated Jan 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
Legal business name
DRA HEALTH SERVICES LLC
Doing business as
DRA Heatlh Service
Practice address
248 Woodland Brook Dr
Madison, MS 39110
Phone
(601) 955-5008
NPI assigned
Mar 2, 2011
Last updated
Jan 21, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2015

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

Authorized official

Name
Mr. Tony L Gines, TERRITORY MANAGER
Title
Owner
Phone
(601) 955-5008

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X MS Primary

Addresses

Primary practice location

248 Woodland Brook Dr
Madison, MS 39110

Mailing address

248 Woodland Brook Dr
Madison, MS 39110
Phone (601) 955-5008

Other names 1

  • DRA Heatlh Service Doing business as

National Provider Directory

National Provider Directory

Locations

927 Medical Center Dr
Bessemer, AL 35022
Phone (205) 481-7748

4143 Atlanta Hwy
Montgomery, AL 36109
Phone (334) 271-4100

210 Forest Park Cir
Panama City, FL 32405
Phone (601) 427-4734

1040 River Oaks Dr
Ste 103
Jackson, MS 39232
Phone (601) 326-2599

6520 Stage Rd
Ste 202
Bartlett, TN 38134
Phone (901) 213-2015

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1299024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421798400000",
    "number": "1982902797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "248 WOODLAND BROOK DR",
            "city": "MADISON",
            "state": "MS",
            "postal_code": "39110",
            "telephone_number": "601-955-5008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "248 WOODLAND BROOK DR",
            "city": "MADISON",
            "state": "MS",
            "postal_code": "39110",
            "telephone_number": "601-955-5008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRA HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-02",
        "last_updated": "2015-01-21",
        "status": "A",
        "authorized_official_last_name": "GINES",
        "authorized_official_first_name": "TONY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-955-5008",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "TERRITORY MANAGER"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "MS",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DRA Heatlh Service",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Madison, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2015; 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.