DR. JULIUS KEITH SPEED DO NPI 1144252834

NPI Information

NPI: 1144252834
Provider Name: DR. JULIUS KEITH SPEED, DO
Classification: Family Medicine - 207Q00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
200 HOSPITAL DR
TYLERTOWN, MS
ZIP 39667
Phone: (601) 876-5835
Get Directions

DR. Julius Keith Speed, DO is a family medicine in Tylertown, 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. DR. Julius Keith Speed, DO NPI is 1144252834. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

200 HOSPITAL DR
TYLERTOWN, MS
ZIP 39667-020
Phone: (601) 876-5835
Fax: (601) 876-5295

The NPI 1144252834 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/6/2006 and was last updated on 10/28/2010.

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	207P00000X	Emergency Medicine		11133	MISSISSIPPI	No
2	207Q00000X	Family Medicine		11133	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	0114413	MEDICAID	MISSISSIPPI
2	25D0320086	OTHER	MISSISSIPPI	CLIA
3	080000271	MEDICARE ID-TYPE UNSPECIFIED	MISSISSIPPI
4	B65965	MEDICARE UPIN	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: 11/14/2023

NPI Synchronization or Removal

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