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MISSISSIPPI DIVERSIFIED HEALTHCARE
NPI 1407157217
Radiology - Radiation Oncology in Greenwood, MS

Active since November 10, 2010
1401 RIVER RD, GREENWOOD, MS 38930(770) 443-4483(770) 443-4410 Get Directions Write a Review

NPPES record last updated: November 10, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mississippi Diversified Healthcare NPPES

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

MISSISSIPPI DIVERSIFIED HEALTHCARE (NPI 1407157217) is a healthcare organization registered as a radiation oncology in Greenwood, Mississippi and active in the NPI registry since November 2010. The organization lists Roderick C Givens, Md, as its authorized official.

NPPES Registry Identity

NPI1407157217
Entity TypeOrganization
Primary Taxonomy2085R0001X
Legal Business NameMISSISSIPPI DIVERSIFIED HEALTHCARE
Location Address1401 RIVER RDGreenwood, MS 38930-4030
Mailing AddressPo Box 18394Natchez, MS 39122-8394 · (770) 443-4483 · Fax (770) 443-4410
Phone(770) 443-4483
Fax(770) 443-4410
Organization SubpartNo
Authorized OfficialRoderick C GivensMd · (770) 443-4483
Enumeration DateNovember 10, 2010
✔ NPI 1407157217 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Radiation OncologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0001X
Definition
A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.
1401 RIVER RD, Greenwood, MS 38930
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Other Identifiers 1

Medicaid00117509MS

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 20

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

DR. PAULA J SPENCE-EVANS M.D.
Emergency Medicine
1401 RIVER RD
GREENWOOD, MS 38930
Leflore County (662) 459-2613
WILLIAM JESSE HODNETT III FNP
Nurse Practitioner (Family)
1401 RIVER RD
GREENWOOD, MS 38930
Leflore County (662) 459-7000
MRS. TONYA MAYERS-SHERMAN FNP-C
Nurse Practitioner (Family)
1401 RIVER RD
GREENWOOD, MS 38930
Leflore County (662) 459-1234
GREENWOOD LEFLORE HOSPITAL
Rehabilitation Unit
1401 RIVER RD
GREENWOOD, MS 38930
Leflore County (662) 459-2604
SUNDER JAGWANI MD PA
Radiology (Body Imaging)
1401 RIVER RD
GREENWOOD, MS 38930
Leflore County (601) 636-0097
GEORGE WEATHERS CRNA
Nurse Anesthetist, Certified Registered
1401 RIVER RD
GREENWOOD, MS 38930
Leflore County (662) 459-2613
MRS. SABRINA BROWN MATTHEWS NP-C
Nurse Practitioner (Family)
1401 RIVER RD
GREENWOOD, MS 38930
Leflore County (662) 459-7000
JOYCE BRADSHAW MD
Pathology (Anatomic Pathology & Clinical Pathology)
1401 RIVER RD
GREENWOOD, MS 38930
Leflore County (601) 636-0097

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 Mississippi Diversified Healthcare's NPI number?

The NPI number for Mississippi Diversified Healthcare is 1407157217. It was assigned to this organization in the NPPES registry on November 10, 2010.

Where is Mississippi Diversified Healthcare located?

Mississippi Diversified Healthcare is located at 1401 River Rd, Greenwood, MS 38930. The listed phone number is (770) 443-4483.

What is Mississippi Diversified Healthcare's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Radiation Oncology, with taxonomy code 2085R0001X.

When was this NPI record last updated?

The NPPES record for Mississippi Diversified Healthcare was last updated on November 10, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.