PATHWAY HEALTHCARE- COLUMBUS, MS LLC – NPI #1245755990
Family Medicine

A family medicine physician who specializes in the diagnosis and treatment of addictions.

PATHWAY HEALTHCARE- COLUMBUS, MS LLC is a provider located in COLUMBUS, MS. NPPES has assigned the NPI number 1245755990 to PATHWAY HEALTHCARE- COLUMBUS, MS LLC on August 03, 2017. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207QA0401X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine, specializing in Addiction Medicine

The NPI profile was previously updated about 8 years ago on Mar 17, 2018. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PATHWAY HEALTHCARE- COLUMBUS, MS LLC below.

NPI Profile for
PATHWAY HEALTHCARE- COLUMBUS, MS LLC

NPI Number
1245755990
Enumeration Date

(about 9 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PATHWAY HEALTHCARE- COLUMBUS, MS LLC
Primary location
3600 BLUECUTT RD STE 200
COLUMBUS, MS 39705-1303
Phone: (731) 265-6025 Fax: (731) 265-6028
1 Other location(s):
1 Medical Plaza Dr
Vicksburg, MS 39180-5187
Phone: (601) 883-0264
Fax: (601) 883-0266
Mailing address
37 SANDSTONE CIR STE 92
JACKSON, TN 38305-3168
Phone: (731) 265-6025 Fax: (731) 265-6028
Organization Subpart
No
Authorized Official
KRYSTAL SPENCER
BUSINESS OFFICE MANAGER
Phone: (731) 265-6025
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207QA0401X
- Family Medicine / Addiction Medicine (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.