Pelahatchie Family Medicine

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

PELAHATCHIE FAMILY MEDICINE

Practice address

507 Second St
Pelahatchie, MS 39145-2786

Phone

(601) 854-8002

NPI assigned

Jan 22, 2013

Organization subpart

No

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

Authorized official

Name

William Krooss II, MD

Title

Managing Partner

Phone

(601) 932-3191

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1358812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411344000000",
    "number": "1982942223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 320609",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392320609",
            "telephone_number": "601-932-3191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "507 SECOND ST",
            "city": "PELAHATCHIE",
            "state": "MS",
            "postal_code": "391452786",
            "telephone_number": "601-854-8002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PELAHATCHIE FAMILY MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-22",
        "last_updated": "2014-09-22",
        "status": "A",
        "authorized_official_last_name": "KROOSS",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "601-932-3191",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathy Hill, NP
• Amanda L Jackson, PHARMD
• Courtney Kameron
• Mississippi Dental Center of Pelahatchie
• Jerry Louis Nash, CFNP
• Rhodes & Robby Drugs Inc
• Samuel Justin Rhodes
• S&P Ventures LLC
• Nicholas Cody Shaw, ATC
• Chrysanne Shelton

• Family Medicine Physician in Pelahatchie, MS
• Providers in Pelahatchie, MS by specialty
• Family Medicine Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2014; 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.