{
"Npi": {
"NPI": "1306114319",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "SOUTHWEST MISSISSIPPI PLANNING AND DEVELOPMENT DISTRICT",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "100 S WALL ST",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "NATCHEZ",
"MailingAddressStateName": "MS",
"MailingAddressPostalCode": "39120-3477",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "601-446-6044",
"MailingAddressFaxNumber": "601-446-6071",
"FirstLinePracticeLocationAddress": "2265 HIGHWAY 84 E",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "MEADVILLE",
"PracticeLocationAddressStateName": "MS",
"PracticeLocationAddressPostalCode": "39653-8447",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "601-384-5200",
"PracticeLocationAddressFaxNumber": "601-384-5315",
"EnumerationDate": "12/05/2011",
"LastUpdateDate": "12/05/2011",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "PETERSON",
"AuthorizedOfficialFirstName": "WIRT",
"AuthorizedOfficialMiddleName": "L",
"AuthorizedOfficialTitle": "EXECUTIVE DIRECTOR",
"AuthorizedOfficialNamePrefix": "MR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "601-446-6044",
"Taxonomies": {
"Taxonomy": [
{
"TaxonomyCode": "253Z00000X",
"TaxonomyName": "In Home Supportive Care Agency",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "251B00000X",
"TaxonomyName": "Case Management Agency",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}