ATTICUS GROUP LLC (NPI# 1679910269) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679910269 |
| Entity Type | Organization |
| Organization Name | ATTICUS GROUP LLC |
| Other Organization Name | VITAL CARE OF CENTRAL MISSISSIPPI |
| Practice Address |
276 Nissan Pkwy Bldg A Suite 400 Canton MS 39046-7006 |
| Mailing Address |
159 Fountains Blvd Suite B Madison MS 39110-6344 |
| Practice Telephone | 7697987748 |
| Mailing Telephone | 6018598200 |
| Mailing Fax Number | 6018591057 |
| Enumeration Date | 2013-05-23 |
| Last Update Date | 2019-10-09 |
| Authorized Official Name | JOHN DOUGLAS HEGI (PRESIDENT) |
| Authorized Official Telephone | 7697987748 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332BP3500X |
Durable Medical Equipment & Medical Supplies Specialization: Parenteral & Enteral Nutrition |
12242/2.1 | MS | Suppliers |
| N | 333600000X | Pharmacy | 06155081 | MS | Suppliers |
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | 12242/2.1 | MS | Suppliers |
| N | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
12242/2.1 | MS | Suppliers |
| N | 3336S0011X |
Pharmacy Specialization: Specialty Pharmacy |
Suppliers | ||
| Y | 3336H0001X |
Pharmacy Specialization: Home Infusion Therapy Pharmacy |
12242/2.1 | MS | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | MEDICAID PHARMACY | 06155081 | 01 |
| Other Name | Type Code |
|---|---|
| Vital Care of Central Mississippi | Doing Business As Name - Organization |
| Street Address |
276 NISSAN PKWY BLDG A SUITE 400 |
| City | CANTON |
| State | MS |
| Zip Code | 39046-7006 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043858053 | Pediatric Haven | Skilled Nursing Facility | 112 Westfalen Drive, Canton, MS 39046 | 2019-12-20 |
| 1932743176 | Stacey Elizabeth Aldridge | Social Worker | 210 E Peace Street, Canton, MS 39046 | 2019-10-31 |
| 1881245736 | Mildred Loving | Technician | 323 Shady Lane, Canton, MS 39046 | 2019-09-23 |
| 1295384683 | Betty Bass | Technician | 693 Miggins Road, Canton, MS 39046 | 2019-09-09 |
| 1972081644 | Charles Brayden Jones | Physical Therapist | 276 Nissan Pkwy Ste 400, Canton, MS 39046 | 2018-08-03 |
| 1013436062 | Andrew J Breland | Counselor | 210 E Peace St, Canton, MS 39046 | 2017-09-11 |
| 1801318290 | Mississippi Enjoy Breastfeeding Shalom Resource Center | Clinic/Center | 343 Smith Street, Canton, MS 39046 | 2017-07-07 |
| 1619362977 | Shameca Hudson | Nurse Practitioner | 274 Cobbville Dr E, Canton, MS 39046 | 2015-04-03 |
| 1144644386 | Margaret Reimers Beckwith | Chiropractor | 124 Links Drive, I-103, Canton, MS 39046 | 2014-02-07 |
| 1053753194 | Tanya Linette Calhoun | Nurse Practitioner | 1171 Hart Street, Canton, MS 39046 | 2013-07-17 |
| Find all providers in zip 39046 | ||||
| Taxonomy Code | 3336H0001X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Home Infusion Therapy Pharmacy |
| Pharmacy-based, decentralized patient care organization with expertise in USP 797-compliant sterile drug compounding that provides care to patients with acute or chronic conditions generally pertaining to parenteral administration of drugs, biologics and nutritional formulae administered through catheters and/or needles in home and alternate sites. Extensive professional pharmacy services, care coordination, infusion nursing services, supplies and equipment are provided to optimize efficacy and compliance. |
| Notes: Source: National Home Infusion Association [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942303110 | Walgreens Specialty Pharmacy LLC | Pharmacy | 41460 Haggerty Cir S, Canton, MI 48188 | 2006-09-06 |
| 1902904253 | Aultman Hospital | Pharmacy | 2600 Sixth St Sw, Canton, OH 44710-1702 | 2006-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740795806 | Forrest General Hospital | Pharmacy | 1414 South 28th Avenue, Hattiesburg, MS 39401 | 2017-12-11 |
| 1447498647 | Bond Pharmacy Inc. | Pharmacy | 623 Highland Colony Parkway, Suite 100, Ridgeland, MS 39157-6077 | 2009-01-26 |
| 1881778330 | Lab Discount Drugs, Inc. | Pharmacy | 923 Wayne St, Waynesboro, MS 39367-2571 | 2006-10-24 |
| 1104938992 | Southern Pharmaceutical Corporation | Pharmacy | 165 Rosecrest Dr, Columbus, MS 39701-5501 | 2006-08-31 |
| 1730583204 | Vital Care, Inc | Pharmacy | 1170 Ne Industrial Park Rd, Meridian, MS 39301-1100 | 2014-10-13 |
| 1316950512 | Sartin's Vital Care Inc | Pharmacy | 4300 15th St, Suite A, Gulfport, MS 39501-2524 | 2006-08-15 |
| 1750309183 | Diversified Infusioncare Solutions, Inc. | Pharmacy | 823 Highway 12 W, Suite E, Starkville, MS 39759-3593 | 2006-07-17 |
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| 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.