MED OPTIONS LLC. NPI 1992166094

NPI Information

NPI: 1992166094
Provider Name: MED OPTIONS LLC.
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

Address:
5266 OLD HIGHWAY 11
STE 70 PMB 104
HATTIESBURG, MS
ZIP 39402
Phone: (601) 466-0825
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MED OPTIONS LLC. is a family nurse practitioner in Hattiesburg, MS. MED OPTIONS LLC. NPI is 1992166094. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

5266 OLD HIGHWAY 11
STE 70 PMB 104
HATTIESBURG, MS
ZIP 39402-817
Phone: (601) 466-0825

The provider's authorized official is Shermanda Brumfield .
The authorized official title is President and has the following contact phone number (601) 466-0825.

The enumeration date for this NPI number is 3/16/2016 and was last updated on 3/16/2016.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207R00000X	Internal Medicine		19209	MISSISSIPPI	No
2	363LF0000X	Nurse Practitioner	Family	R865509	MISSISSIPPI	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1861801888	OTHER	MISSISSIPPI	NPI
2	363724YJ9F	MEDICARE PIN	MISSISSIPPI
3	02902324	MEDICAID	MISSISSIPPI

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

NPI Synchronization or Removal

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