MISSISSIPPI PAC SERVICES PROFESSIONAL ASSOCIATION (NPI# 1073042925) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073042925 |
| Entity Type | Organization |
| Organization Name | MISSISSIPPI PAC SERVICES PROFESSIONAL ASSOCIATION |
| Practice Address |
960 Highway 4 E Holly Springs MS 38635-2145 |
| Mailing Address |
265 Brookview Centre Way Ste 400 Knoxville TN 37919-4052 |
| Practice Telephone | 8656931000 |
| Mailing Telephone | 8656931000 |
| Enumeration Date | 2017-06-05 |
| Last Update Date | 2017-06-07 |
| Authorized Official Name | DR. ROHIT UPPAL (PRESIDENT) |
| Authorized Official Telephone | 8656931000 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208M00000X | Hospitalist | Allopathic & Osteopathic Physicians | ||
| Y | 2084B0040X |
Psychiatry & Neurology Specialization: Behavioral Neurology & Neuropsychiatry |
Allopathic & Osteopathic Physicians |
| Street Address |
960 HIGHWAY 4 E |
| City | HOLLY SPRINGS |
| State | MS |
| Zip Code | 38635-2145 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750725297 | New Covenant Daycare | Preferred Provider Organization | 960 Highway 4 E, Holly Springs, MS 38635-2145 | 2013-04-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174123442 | Anointed Caregiver LLC | In Home Supportive Care | 585 Stewart Street, Holly Springs, MS 38635 | 2020-10-27 |
| 1841823515 | Jordan Marquis Anderson | Counselor | 694 Hwy #4 E, Holly Springs, MS 38635 | 2020-02-20 |
| 1073151684 | Robyn Black Caldwell | Nurse Practitioner | 550 South Craft Street, Holly Springs, MS 38635 | 2019-12-13 |
| 1750922209 | Paul Franklin Nixon | Nurse Practitioner | 550 S Craft Street, Holly Springs, MS 38635 | 2019-10-07 |
| 1629596804 | Ortho Express Holding Company, LLC | Orthopaedic Surgery | 173a Whaley Dr, Ste B, Holly Springs, MS 38635 | 2017-09-07 |
| 1306047436 | Alliance Healthcare System | General Acute Care Hospital | 1430 Hwy4-east, Holly Springs, MS 38635 | 2007-05-29 |
| 1518168624 | Alliance Healthcare System | General Acute Care Hospital | 1430 Hwy 4 East, Holly Springs, MS 38635 | 2007-05-29 |
| 1437373164 | Curl & Clark LLC | Clinic/Center | 153a South Market Street, Holly Springs, MS 38635 | 2007-04-12 |
| 1912047747 | North Mississippi Foot Specialists PC | Durable Medical Equipment & Medical Supplies | 439 Craft Street, Suite B, Holly Springs, MS 38635 | 2007-02-08 |
| 1467561233 | Brooks V Monaghan Jr. | Surgery | 226 Bethlehem St, Holly Springs, MS 38635 | 2006-08-29 |
| Find all providers in zip 38635 | ||||
| Taxonomy Code | 2084B0040X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Behavioral Neurology & Neuropsychiatry |
| Behavioral Neurology & Neuropsychiatry is a medical subspecialty involving the diagnosis and treatment of neurologically based behavioral issues. |
| Notes: Source: National Uniform Claim Committee. [1/1/2012: new] Additional Resources: American Academy of Neurology, www.aan.com. |
| City | HOLLY SPRINGS |
| Zip Code | 38635 |
Please comment or provide details below to improve the information on MISSISSIPPI PAC SERVICES PROFESSIONAL ASSOCIATION.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.