Provider Demographics
NPI:1487784898
Name:NEWBORN ASSOCIATES P A
Entity type:Organization
Organization Name:NEWBORN ASSOCIATES P A
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:
Authorized Official - Last Name:BUFFINGTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:601-957-7345
Mailing Address - Street 1:PO BOX 320039
Mailing Address - Street 2:
Mailing Address - City:FLOWOOD
Mailing Address - State:MS
Mailing Address - Zip Code:39232-0039
Mailing Address - Country:US
Mailing Address - Phone:601-981-5887
Mailing Address - Fax:769-251-5429
Practice Address - Street 1:5 RIVER BEND PL STE C
Practice Address - Street 2:
Practice Address - City:FLOWOOD
Practice Address - State:MS
Practice Address - Zip Code:39232-7618
Practice Address - Country:US
Practice Address - Phone:601-957-7345
Practice Address - Fax:769-251-5429
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:THE NEWBORN ASSOCIATES, PA
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-03-06
Last Update Date:2019-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2080N0001XAllopathic & Osteopathic PhysiciansPediatricsNeonatal-Perinatal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS09015430Medicaid