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Contact Information

PEDIATRIX MEDICAL GROUP OF MISSISSIPPI, INC.
4566 S EASON BLVD
TUPELO, MS38801-6540
 Phone: 662-377-4905
 Fax: 662-377-4906
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neonatal-Perinatal Medicine

2080N0001X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for PEDIATRIX MEDICAL GROUP OF MISSISSIPPI, INC.

NPI Number 1902949803
LBN Legal business name PEDIATRIX MEDICAL GROUP OF MISSISSIPPI, INC.
Authorized official ERIC MASON - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 02/14/2007
Last updated 08/12/2015 - About 11 years ago
Identifiers
MS Medicaid 09014844
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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