ELIZABETH G TICE DPM PLLC
NPI 1245404185
Podiatrist in Jackson, MS

Active since April 22, 2008
1860 CHADWICK DRIVE, SUITE 106, JACKSON, MS 39204(601) 376-2963(601) 376-2967 Get Directions Write a Review

NPPES record last updated: August 20, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Elizabeth G Tice Dpm Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ELIZABETH G TICE DPM PLLC (NPI 1245404185) is a healthcare organization registered as a podiatrist in Jackson, Mississippi and active in the NPI registry since April 2008. The organization lists Elizabeth G Tice, Physician/owner, as its authorized official.

NPPES Registry Identity

NPI1245404185
Entity TypeOrganization
Primary Taxonomy213E00000X
Legal Business NameELIZABETH G TICE DPM PLLC
Location Address1860 CHADWICK DRIVE, SUITE 106Jackson, MS 39204
Mailing Address1860 Chadwick Drive, Suite 106Jackson, MS 39204 · (601) 376-2963 · Fax (601) 376-2967
Fax(601) 376-2967
Organization SubpartNo
Authorized OfficialElizabeth G TicePhysician/owner · (601) 376-2963
Enumeration DateApril 22, 2008
Last NPPES UpdateAugust 20, 2014
NPI 1245404185 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
License Licensed in MS · 80188
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
1860 CHADWICK DRIVE, Jackson, MS 39204

Other Identifiers 1

Medicare PIN512I480004

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychiatry & Neurology (Neurology)
1860 CHADWICK DRIVE, SUITE 258
JACKSON, MS 39204
Otolaryngology
1860 CHADWICK DRIVE, SUITE 305
JACKSON, MS 39204
Internal Medicine
1860 CHADWICK DRIVE, SUITE 351 AND 353
JACKSON, MS 39204
Podiatrist
1860 CHADWICK DRIVE, SUITE 106
JACKSON, MS 39204

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Elizabeth G Tice Dpm PLLC's NPI number?

The NPI number for Elizabeth G Tice Dpm PLLC is 1245404185. It was assigned to this organization in the NPPES registry on April 22, 2008.

Where is Elizabeth G Tice Dpm PLLC located?

Elizabeth G Tice Dpm PLLC is located at 1860 Chadwick Drive Suite 106, Jackson, MS 39204. The listed phone number is (601) 376-2963.

What is Elizabeth G Tice Dpm PLLC's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

When was this NPI record last updated?

The NPPES record for Elizabeth G Tice Dpm PLLC was last updated on August 20, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.