DRIVE RIGHT – NPI #1962131979
Family Medicine

The NUCC recommends this code not be used. Choose a more appropriate code.

DRIVE RIGHT is a provider located in SOUTHAVEN, MS. NPPES has assigned the NPI number 1962131979 to DRIVE RIGHT on June 06, 2022. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “DRIVE RIGHT” is a dba name, the actual legal business name for this organization is DRIVE RIGHT, LLC. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207QA0505X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine, specializing in Adult Medicine

The NPI profile was previously updated about 4 years ago on Jul 01, 2022. 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 DRIVE RIGHT below.

NPI Profile for
DRIVE RIGHT, LLC

NPI Number
1962131979
Enumeration Date

(more than 4 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
DRIVE RIGHT, LLC
Doing Business As (dba): DRIVE RIGHT
Primary location
201 STATELINE RD W STE 5A
SOUTHAVEN, MS 38671-1600
Phone: (662) 253-8959 Fax: (662) 470-6918
1 Other location(s):
201 Stateline Rd W Ste 5A
Southaven, MS 38671-1600
Phone: (662) 253-8959
Fax: (662) 470-6918
Mailing address
3715 CYPRESS PLANTATION DR
OLIVE BRANCH, MS 38654-7640
Phone: (626) 253-8959 Fax: (662) 470-6918
Organization Subpart
No
Authorized Official
BONNIE ELLZEY
NP
Phone: (662) 253-8959
Updated
Certification Date
Jul 01, 2022

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.

Identifiers

Identifiers for DRIVE RIGHT

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERMD PROVIDER NPI1922003037
OTHERMS BOARD OF MEDICINE MEDICAL LICENSEMS14740
OTHERMS BOARD OF NURSINGMS904198
OTHERNURSE PRAC INDIVIDUAL NPIMS1972129609
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
207QA0505X
- Family Medicine / Adult Medicine (Primary)
261QM1300X
- Clinic/Center / Multi-Specialty

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.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
[email protected]
Endpoint type
Direct Messaging Address
Endpoint Description
ENCRYPTED EMAIL
Content Type
Affiliation
N
Endpoint Location
201 STATELINE RD W STE 5A,
SOUTHAVEN, MS 77025-1669