HANCOCK MEDICAL HEALTH SERVICES, INC. (NPI# 1003167529) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003167529 |
| Entity Type | Organization |
| Organization Name | HANCOCK MEDICAL HEALTH SERVICES, INC. |
| Other Organization Name | HANCOCK MEDICAL HEALTH SERVICES - HCSD |
| Practice Address |
6122 Cuevas Town Road Kiln MS 39556 |
| Mailing Address |
149 Drinkwater Blvd. Bay St Louis MS 39520 |
| Practice Telephone | 2282557896 |
| Practice Fax Number | 2282555249 |
| Mailing Telephone | 2284678676 |
| Mailing Fax Number | 2284675597 |
| Enumeration Date | 2012-09-24 |
| Last Update Date | 2013-12-10 |
| Authorized Official Name | MR. GUY KEN SMITH (DIRECTOR OPERATIONS) |
| Authorized Official Telephone | 9858987091 |
| Authorized Official Credential | MBA |
| Is Organization Subpart | Y |
| Parent Organization Name | HANCOCK MEDICAL CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 11-214 | MS | Physician Assistants & Advanced Practice Nursing Providers |
| Other Name | Type Code |
|---|---|
| Hancock Medical Health Services - HCSD | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740623990 | Hancock Medical Health Services, Inc. | Specialist | 4540b Shepherd Sq, Diamondhead, MS 39525-3325 | 2013-04-08 |
| 1437400959 | Hancock Medical Health Services, Inc. | Nurse Practitioner | 600 Pine St., Bay St Louis, MS 39520 | 2012-09-24 |
| 1245581768 | Hancock Medical Health Services, Inc. | Nurse Practitioner | 602 Pine St., Bay St Louis, MS 39520 | 2012-09-24 |
| 1124379631 | Hancock Medical Health Services, Inc. | Nurse Practitioner | 23350 Highway 43, Picayune, MS 39466 | 2012-09-24 |
| 1912258427 | Hancock Medical Health Services, Inc. | Nurse Practitioner | 6590 Lakeshore Road, Bay St Louis, MS 39520 | 2012-09-24 |
| 1548511066 | Hancock Medical Health Services, Inc. | Nurse Practitioner | 7070 Stennis Airport Dr., Kiln, MS 39556 | 2012-09-24 |
| 1356692875 | Hancock Medical Health Services, Inc. | Nurse Practitioner | 7084 Stennis Airport Dr., Kiln, MS 39556 | 2012-09-24 |
| 1346559689 | Hancock Medical Health Services, Inc. | Nurse Practitioner | 17000 Kapalama Rd, Pass Christian, MS 39571-9761 | 2010-10-05 |
| 1538478870 | Hancock Medical Health Services, Inc. | Clinic/Center | 100 Hancock Square Dr, Bay St Louis, MS 39520-1632 | 2010-10-05 |
| 1700195047 | Hancock Medical Health Services, Inc. | Nurse Practitioner | 517 W North St Ste C&d, Pass Christian, MS 39571-2605 | 2010-10-05 |
| Street Address |
6122 CUEVAS TOWN ROAD |
| City | KILN |
| State | MS |
| Zip Code | 39556 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568713071 | Hancock Medical Health Services | Nurse Practitioner | 4221 Kiln - Delisle Rd., Kiln, MS 39556 | 2012-09-24 |
| 1548511066 | Hancock Medical Health Services, Inc. | Nurse Practitioner | 7070 Stennis Airport Dr., Kiln, MS 39556 | 2012-09-24 |
| 1356692875 | Hancock Medical Health Services, Inc. | Nurse Practitioner | 7084 Stennis Airport Dr., Kiln, MS 39556 | 2012-09-24 |
| 1205955283 | Dana Hal Jones | Dentist | 17094 Hwy 603, Kiln, MS 39556 | 2007-03-28 |
| 1447549761 | Kiln Dental Center LLC | Dentist | 17094 Hwy 603, Kiln, MS 39556 | 2011-04-07 |
| 1952420937 | Martin Macrae Murphree | Dentist | 17094 Hwy 603, Kiln, MS 39556 | 2007-03-28 |
| 1922338037 | Cynthia Lee Dedeaux | Specialist/Technologist | 21271 Lawrence Ladner Rd, Kiln, MS 39556-6490 | 2010-01-12 |
| 1861920407 | Micah A Ladner Fnp-c LLC | Nurse Practitioner | 22549 Fenton Dedeaux Rd, Kiln, MS 39556-6576 | 2017-05-26 |
| 1417134230 | Bridget Ann Pendley | Licensed Practical Nurse | 22463 Fenton Dedeaux Rd, Kiln, MS 39556-6578 | 2008-01-23 |
| 1164804191 | Lexie Jo Cupp | Behavioral Analyst | 17095 Fenton Dedeaux Rd, Kiln, MS 39556-6931 | 2015-06-25 |
| Find all providers in zip 39556 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770040248 | Rebecca Lynn Grob | Nurse Practitioner | 8066 Firetower Rd, Kiln, MS 39556-8384 | 2019-02-20 |
| 1568713071 | Hancock Medical Health Services | Nurse Practitioner | 4221 Kiln - Delisle Rd., Kiln, MS 39556 | 2012-09-24 |
| 1548511066 | Hancock Medical Health Services, Inc. | Nurse Practitioner | 7070 Stennis Airport Dr., Kiln, MS 39556 | 2012-09-24 |
| 1356692875 | Hancock Medical Health Services, Inc. | Nurse Practitioner | 7084 Stennis Airport Dr., Kiln, MS 39556 | 2012-09-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952913618 | Cynthia Marie Nonamaker | Nurse Practitioner | 4641 Ridge Rd, Columbus, MS 39705-2862 | 2020-08-23 |
| 1275145781 | Amanda Allred | Nurse Practitioner | 59 Lynn Lane, Starkville, MS 39759 | 2020-08-18 |
| 1093323461 | Lauren Elizabeth Boone | Nurse Practitioner | 3415 Shiloh Ln, Southaven, MS 38672-6045 | 2020-07-21 |
| 1558979229 | Adrianne Amanda Anderson | Nurse Practitioner | 8390 Ansley Park Ln, Southaven, MS 38672-8340 | 2020-07-20 |
| 1295343028 | Latesha Rochelle Williams | Nurse Practitioner | 309 Mcswain Rd, New Augusta, MS 39462-9760 | 2020-07-17 |
| 1316565914 | Youchoose | Nurse Practitioner | 10071 Imc Rd, Aberdeen, MS 39730-8408 | 2020-07-09 |
| 1891312948 | Courtney Rae Gordon | Nurse Practitioner | 601 Highway 80 E, Clinton, MS 39056-5122 | 2020-07-05 |
| 1568089977 | Kaitlin Johnson Hinton | Nurse Practitioner | 3275 Us 49 E, Collins, MS 39428 | 2020-07-01 |
| 1376169920 | Brittany Linton | Nurse Practitioner | 149 Fountains Blvd, Madison, MS 39110-6344 | 2020-06-19 |
| 1356960777 | Jennifer M Hunter | Nurse Practitioner | 8970 Lorraine Rd, Gulfport, MS 39503-4176 | 2020-04-15 |
| Find all providers with the same taxonomy | ||||
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| 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.