LIVE OAKS ADDICTION PROFESSIONALS – NPI #1619433943
Family Medicine

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

Health Care Provider Taxonomy Code for Family Medicine

LIVE OAKS ADDICTION PROFESSIONALS is a provider located in SOUTHAVEN, MS. NPPES has assigned the NPI number 1619433943 to LIVE OAKS ADDICTION PROFESSIONALS on February 12, 2019. 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

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 LIVE OAKS ADDICTION PROFESSIONALS below.

NPI Profile for
LIVE OAKS ADDICTION PROFESSIONALS

NPI Number
1619433943
Enumeration Date

(more than 7 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
LIVE OAKS ADDICTION PROFESSIONALS
Primary location
5699 GETWELL RD STE 1
SOUTHAVEN, MS 38672-7312
Phone: (662) 510-8400 Fax: (662) 510-8500
Mailing address
201 METHODIST BLVD STE 100
HATTIESBURG, MS 39402-1267
Phone: (601) 296-3151 Fax:
Organization Subpart
No
Authorized Official
GARY CARR
SOLE MEMBER
Phone: (662) 510-8400
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.