Organization Active NPI

Mt. Olive Baptist Church

  • Counselor
  • Hattiesburg, MS
National Provider Identifier
1992004212
Registry record updated Mar 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
205814 Issued in MS
Legal business name
MT. OLIVE BAPTIST CHURCH
Practice address
1313 Country Club Road
Hattiesburg, MS 39401
Phone
(601) 582-3475
Fax
(601) 582-0149
NPI assigned
Mar 25, 2011
Last updated
Mar 25, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2011

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

Authorized official

Name
Arthur Lee SiggersNPI 1174268056
Title
Pastor
Phone
(601) 582-3475

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
CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101Y00000X 205814 MS Primary

Addresses

Primary practice location

1313 Country Club Road
Hattiesburg, MS 39401

Mailing address

1313 Country Club Road
Hattiesburg, MS 39401
Phone (601) 582-3475

National Provider Directory

National Provider Directory

Locations

1313 Country Club Rd
Hattiesburg, MS 39401
Phone (601) 582-3475

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.

NPI Registry JSON

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

{
    "created_epoch": "1301011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301011200000",
    "number": "1992004212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1313 COUNTRY CLUB ROAD",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "39401",
            "telephone_number": "601-582-3475",
            "fax_number": "601-582-0149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1313 COUNTRY CLUB ROAD",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "39401",
            "telephone_number": "601-582-3475",
            "fax_number": "601-582-0149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MT. OLIVE BAPTIST CHURCH",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-25",
        "last_updated": "2011-03-25",
        "status": "A",
        "authorized_official_last_name": "SIGGERS",
        "authorized_official_first_name": "ARTHUR",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PASTOR",
        "authorized_official_telephone_number": "601-582-3475"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": "MS",
            "license": "205814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hattiesburg, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2011; 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.