Provider Type Icon

FILLINGANE MEDICAL CLINIC PA NPI 1386721546


NPI Information

NPI: 1386721546
Provider Name: FILLINGANE MEDICAL CLINIC, PA

Former Legal Business Name: SAM FILLINGANE DO

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
1021 N FLOWOOD DRIVE
FLOWOOD, MS
ZIP 39232
Phone: (601) 664-2424
Get Directions

FILLINGANE MEDICAL CLINIC, PA is a family medicine in Flowood, MS. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. FILLINGANE MEDICAL CLINIC, PA NPI is 1386721546. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Sam Fillingane Do.

The provider's business location address is:

1021 N FLOWOOD DRIVE
FLOWOOD, MS
ZIP 39232-533
Phone: (601) 664-2424
Fax: (601) 664-6675

The provider's authorized official is Freida L Fillingane .
The authorized official title is Office Manager and has the following contact phone number (601) 906-4175.

The enumeration date for this NPI number is 11/1/2006 and was last updated on 1/28/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily Medicine11114MISSISSIPPIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
100116048MEDICAIDMISSISSIPPI
2D73508MEDICARE UPINMISSISSIPPI
3010000077MEDICARE PIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.