NETTLETON MEDICAL EXPRESS CARE LLC – NPI #1518500677
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

NETTLETON MEDICAL EXPRESS CARE LLC is a provider located in NETTLETON, MS. NPPES has assigned the NPI number 1518500677 to NETTLETON MEDICAL EXPRESS CARE LLC on October 22, 2019. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 208D00000X from the Health Care Provider Taxonomy code set, which is classified as General Practice.

The NPI profile was previously updated about 6 years ago on Aug 19, 2020. 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 NETTLETON MEDICAL EXPRESS CARE LLC below.

NPI Profile for
NETTLETON MEDICAL EXPRESS CARE LLC

NPI Number
1518500677
Enumeration Date

(more than 6 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
NETTLETON MEDICAL EXPRESS CARE LLC
Primary location
7230 HIGHWAY 45 N STE B
32610 HWY 45 N
NETTLETON, MS 38858
Phone: (662) 416-3357 Fax: (662) 256-3131
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
LEEANN BLAKE
OFFICE MANAGER
Phone: (662) 963-0500
Updated
Certification Date
Aug 19, 2020

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.

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
208D00000X
- General Practice (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.