PATHWAY HEALTHCARE - JACKSON, MS, LLC – NPI #1487179156
Family Medicine
A family medicine physician who specializes in the diagnosis and treatment of addictions.
PATHWAY HEALTHCARE - JACKSON, MS, LLC is a provider located in JACKSON, MS. NPPES has assigned the NPI number 1487179156 to PATHWAY HEALTHCARE - JACKSON, MS, LLC on August 03, 2017. It is a Type-2 NPI, indicating this NPI number is associated with an organization. According to the NPI Registry, there are 3 additional location(s) assigned to this provider which are listed below. 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 3 years ago on May 11, 2023. 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 - JACKSON, MS, LLC below.
NPI Profile for
PATHWAY HEALTHCARE - JACKSON, MS, LLC
(about 9 years ago)
JACKSON, MS 39202-2000 Phone: (205) 208-9312 Fax:
3 Other location(s):
Columbus, MS 39705-1397
Phone: (205) 208-9312
Laurel, MS 39440-1041
Phone: (205) 208-9312
Vicksburg, MS 39180-5580
Phone: (205) 208-9312
VESTAVIA, AL 35242-2584 Phone: (205) 208-9312 Fax:
PRESIDENT
Phone: (205) 208-9312
Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.
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.