PINE GROVE ASSOCIATION
NPI 1871316257
General Practice in Canton, MS

Active since November 05, 2024
1134 BARNES RD, CANTON, MS 39046(601) 761-9424 Get Directions Write a Review

NPPES record last updated: December 5, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 5, 2024, Nov 5, 2024 (2 updates tracked since 2024).

About Pine Grove Association NPPES

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

PINE GROVE ASSOCIATION (NPI 1871316257) is a healthcare organization registered as a general practice in Canton, Mississippi and active in the NPI registry since November 2024. The organization lists Angela Carson, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1871316257
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NamePINE GROVE ASSOCIATION
Location Address1134 BARNES RDCanton, MS 39046
Mailing Address1134 Barnes RdCanton, MS 39046-0036
Organization SubpartNo
Authorized OfficialAngela CarsonExecutive Director · (601) 955-1132
Enumeration DateNovember 5, 2024
Last NPPES UpdateDecember 5, 20242 updates tracked since enumeration
NPPES CertifiedDecember 3, 2024
NPI 1871316257 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

1134 BARNES RD, Canton, MS 39046

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Pine Grove Association's NPI number?

The NPI number for Pine Grove Association is 1871316257. It was assigned to this organization in the NPPES registry on November 5, 2024.

Where is Pine Grove Association located?

Pine Grove Association is located at 1134 Barnes Rd, Canton, MS 39046. The listed phone number is (601) 761-9424.

What is Pine Grove Association's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Pine Grove Association was last updated on December 5, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.