HANCOCK MEDICAL CENTER (NPI# 1003007006) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003007006 |
| Entity Type | Organization |
| Organization Name | HANCOCK MEDICAL CENTER |
| Other Organization Name | DIAMONDMED URGENT CARE |
| Practice Address |
4540 Shepherd Square Suite B Diamondhead MS 39525 |
| Mailing Address |
P.o. Box 2790 Bay Saint Louis MS 39521-2790 |
| Practice Telephone | 2282558216 |
| Practice Fax Number | 2282558219 |
| Mailing Telephone | 2284678700 |
| Mailing Fax Number | 2284678799 |
| Enumeration Date | 2007-08-05 |
| Last Update Date | 2009-10-08 |
| Authorized Official Name | MR. DONALD L WADE (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 2284678700 |
| Authorized Official Credential | CPA |
| Is Organization Subpart | Y |
| Parent Organization Name | HANCOCK MEDICAL CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
11214 | MS | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| DiamondMed Urgent Care | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629380142 | Hancock Medical Center | Nurse Practitioner | 517 C & D, W North Street, Pass Christian, MS 39571 | 2010-07-13 |
| 1356672166 | Hancock Medical Center | Family Medicine | 17000 Kapalama Dr, Pass Christian, MS 39571-9761 | 2010-01-18 |
| 1134326259 | Hancock Medical Center | Clinic/Center | 16230 Highway 603, Kiln, MS 39566-6230 | 2007-07-02 |
| 1972827004 | Hancock Medical Center | Nurse Practitioner | 149 Drinkwater Blvd, Bay St Louis, MS 39520-1658 | 2010-03-18 |
| 1407182454 | Hancock Medical Center | Pathology | 149 Drinkwater Blvd, Bay St Louis, MS 39520-1658 | 2009-10-27 |
| 1730312182 | Hancock Medical Center | Hospitalist | 149 Drinkwater Blvd, Bay Saint Louis, MS 39520-1658 | 2009-09-02 |
| 1801023692 | Hancock Medical Center | Surgery | 952 Green Meadow Rd, Bay St Louis, MS 39520-1620 | 2009-06-18 |
| 1134305352 | Hancock Medical Center | Orthopaedic Surgery | 4540 Shepherd Square, Suite C, Diamondhead, MS 39525 | 2008-01-17 |
| 1982801072 | Hancock Medical Center | Anesthesiology | 149 Drinkwater Blvd, Bay Saint Louis, MS 39520-1658 | 2007-07-02 |
| 1326245432 | Hancock Medical Center | Anesthesiology | 149 Drinkwater Blvd, Bay Saint Louis, MS 39520-1658 | 2007-07-02 |
| Street Address |
4540 SHEPHERD SQUARE SUITE B |
| City | DIAMONDHEAD |
| State | MS |
| Zip Code | 39525 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134305352 | Hancock Medical Center | Orthopaedic Surgery | 4540 Shepherd Square, Suite C, Diamondhead, MS 39525 | 2008-01-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447762042 | South Mississippi Home Care, LLC | Home Health | 56128 Diamondhead Dr E, Diamondhead, MS 39525 | 2017-11-04 |
| 1093247553 | Deedy Killen | Registered Nurse | 124a Lakeside Villa Bldg C, Diamondhead, MS 39525 | 2017-04-03 |
| 1730502055 | Hancock Medical Health Services | Clinic/Center | 5435 Gex Road, Diamondhead, MS 39525 | 2014-01-22 |
| 1760756423 | Catherine Michelle Brashear | Nurse Practitioner | 4045b Shepards Square, Diamondhead, MS 39525 | 2012-02-28 |
| 1669745303 | Christopher Byron Arcement | Nurse Practitioner | 5435 Gex Rd., Diamondhead, MS 39525 | 2012-02-10 |
| 1184894354 | Gary S. Porter | Nurse Practitioner | 4540 B Shepherds Squard, Diamondhead, MS 39525 | 2008-03-04 |
| 1346461423 | Charles Eugene Harris | Psychologist | 5427-a Gex Rd, Diamondhead, MS 39525 | 2007-05-02 |
| 1548318025 | Total Rehab Plus LLC | Physical Therapist | 4363 C Leisuretime Dr, Diamondhead, MS 39525 | 2007-01-08 |
| 1356445944 | Cornelia H. Swayze | Social Worker | 4387 Leisure Time Drive, Diamondhead, MS 39525 | 2006-09-12 |
| 1346358652 | James E Hightower Jr. | Counselor | 9964 Kahana St, Diamondhead, MS 39525 | 2006-08-27 |
| Find all providers in zip 39525 | ||||
| Taxonomy Code | 261QU0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Urgent Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659673606 | Diamondhead Urgent Care | Clinic/Center | 4402 E Aloha Dr, Suite 16, Diamondhead, MS 39525-3349 | 2010-11-24 |
| 1922317478 | Hancock Medical Health Services, Inc. | Clinic/Center | 5435 Gex Rd, Diamondhead, MS 39525-3208 | 2010-10-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336749274 | Medplus Starkville LLC | Clinic/Center | 1207 Ms 182, Starkville, MS 39759 | 2020-10-29 |
| 1497384895 | Alliance Urgent Care Clinic | Clinic/Center | 1938 Crescent Meadows Dr Ste C, Holly Springs, MS 38635-7419 | 2020-04-07 |
| 1174168637 | Redmed, LLC | Clinic/Center | 1902 Jackson Ave W Ste B, Oxford, MS 38655-4206 | 2019-11-08 |
| 1568007094 | Redmed, LLC | Clinic/Center | 105a Quality Ln, Senatobia, MS 38668-2317 | 2019-11-07 |
| 1780151381 | Express Care of Cleveland, LLC | Clinic/Center | 609 N Davis Ave Ste 105, Cleveland, MS 38732-2355 | 2018-11-01 |
| 1316420888 | Hunter Asset Holding LLC | Clinic/Center | 350 W Woodrow Wilson Ave Ste 311b, Jackson, MS 39213-7682 | 2018-09-11 |
| 1366922023 | Physician Services of The Gulf Coast LLC | Clinic/Center | 921 Cedar Lake Rd Ste E, Biloxi, MS 39532-2126 | 2018-08-21 |
| 1235619479 | Maxem Health Urgent Care Mccomb | Clinic/Center | 101 Edgewood Dr, Mccomb, MS 39648-2043 | 2018-08-16 |
| 1700372034 | Gmuc of Lucedale, PC | Clinic/Center | 103 W Frontage Rd Ste C, Lucedale, MS 39452-5836 | 2018-07-10 |
| 1285126227 | Medplus Fulton, LLC | Clinic/Center | 407 Interchange Drive, Fulton, MS 38843 | 2018-06-05 |
| Find all providers with the same taxonomy | ||||
| City | DIAMONDHEAD |
| Zip Code | 39525 |
Please comment or provide details below to improve the information on HANCOCK MEDICAL CENTER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.