Active NPI
Adl Solutions
Doing business as The Back Clinic of Mississippi
- Family Medicine Physician
- Flowood, MS
National Provider Identifier
1992900039
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- ADL SOLUTIONS
- Doing business as
- The Back Clinic of Mississippi
- Practice address
- 1050 N Flowood Dr
Suite a-1
Flowood, MS 39232-9738 - Phone
- (601) 936-3515
- Fax
- (601) 936-0705
- NPI assigned
- Jun 19, 2007
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Sandra Irby
- Title
- Ceo
- Phone
- (601) 936-3515
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | NU | Primary |
Addresses
Primary practice location
1050 N Flowood Dr
Suite a-1
Flowood, MS 39232-9738
Mailing address
1050 N Flowood Dr
Suite a-1
Flowood, MS 39232-9738
Phone (601) 936-3515
Other names 1
- The Back Clinic of Mississippi
National Provider Directory
National Provider DirectoryLocations
1050 N Flowood Dr
Ste A1
Jackson, MS 39232
Phone (601) 933-1908
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.
-
- Nurse Practitioner
- Flowood, MS
- NPI 1477632040
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182211200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1992900039",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1050 N FLOWOOD DR",
"address_2": "SUITE A-1",
"city": "FLOWOOD",
"state": "MS",
"postal_code": "392329738",
"telephone_number": "601-936-3515",
"fax_number": "601-936-0705"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1050 N FLOWOOD DR",
"address_2": "SUITE A-1",
"city": "FLOWOOD",
"state": "MS",
"postal_code": "392329738",
"telephone_number": "601-936-3515",
"fax_number": "601-936-0705"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ADL SOLUTIONS",
"organizational_subpart": "NO",
"enumeration_date": "2007-06-19",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "IRBY",
"authorized_official_first_name": "SANDRA",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "601-936-3515",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "The Back Clinic of Mississippi",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Flowood, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.