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ELEMENTS MEDICAL GROUP OF MISSISSIPPI INC NPI 1508386582


NPI Information

NPI: 1508386582
Provider Name: ELEMENTS MEDICAL GROUP OF MISSISSIPPI INC
Classification: Internal Medicine - 207RA0401X
Entity Type: Organization

Specialization: Addiction Medicine

Address:
3949 HIGHWAY 43 N
BRANDON, MS
ZIP 39047
Phone: (601) 829-2500
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ELEMENTS MEDICAL GROUP OF MISSISSIPPI INC is an addiction medicine internal medicine in Brandon, MS. The provider is an internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine. ELEMENTS MEDICAL GROUP OF MISSISSIPPI INC NPI is 1508386582. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3949 HIGHWAY 43 N
BRANDON, MS
ZIP 39047-240
Phone: (601) 829-2500
Fax: (601) 829-4278

The provider's authorized official is Cheryl Maplesden .
The authorized official title is Sr Director Rcm and has the following contact phone number (615) 540-3708.

The enumeration date for this NPI number is 6/21/2017 and was last updated on 6/21/2017.


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
12084P0800XPsychiatry & NeurologyPsychiatryMISSISSIPPINo
2363LF0000XNurse PractitionerFamily862194MISSISSIPPINo
3363LP0808XNurse PractitionerPsychiatric/Mental Health850823MISSISSIPPINo
4207RA0401XInternal MedicineAddiction Medicine7875MISSISSIPPIYes

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: 5/5/2024

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