FORREST COUNTY GENERAL HOSPITAL (NPI# 1275710212) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275710212 |
| Entity Type | Organization |
| Organization Name | FORREST COUNTY GENERAL HOSPITAL |
| Other Organization Name | SOUTH MISSISSIPPI PSYCHIATRIC GROUP |
| Practice Address |
1 Lincoln Pkwy Ste 202 Hattiesburg MS 39402-3261 |
| Practice Telephone | 6012888050 |
| Mailing Telephone | 6012888050 |
| Enumeration Date | 2008-01-22 |
| Last Update Date | 2008-01-22 |
| Authorized Official Name | DEBBIE F SANFORD (VP OF BEHAVIORAL HEALTH) |
| Authorized Official Telephone | 6012884801 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 103TC0700X |
Psychologist Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| N | 103TC1900X |
Psychologist Specialization: Counseling |
Behavioral Health & Social Service Providers | ||
| N | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| N | 106H00000X | Marriage & Family Therapist | Behavioral Health & Social Service Providers | ||
| N | 2084A0401X |
Psychiatry & Neurology Specialization: Addiction Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
Allopathic & Osteopathic Physicians | ||
| N | 2084P0805X |
Psychiatry & Neurology Specialization: Geriatric Psychiatry |
Allopathic & Osteopathic Physicians | ||
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| SOUTH MISSISSIPPI PSYCHIATRIC GROUP | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699267625 | Forrest County General Hospital | Family Medicine | 415 S 28th Ave Fl 1, Hattiesburg, MS 39401-7246 | 2018-06-05 |
| 1427457084 | Forrest County General Hospital | Clinic/Center | 1560 Sumrall Road, Columbia, MS 39429 | 2014-08-20 |
| 1275887499 | Forrest County General Hospital | Internal Medicine | 146 Highland Parkway, Picayune, MS 39466-5574 | 2012-11-09 |
| 1417229055 | Forrest County General Hospital | Home Health | 906 Sumrall Rd, Columbia, MS 39429-2652 | 2012-01-28 |
| 1770715450 | Forrest County General Hospital | Clinic/Center | 302 Highway 11 S, Poplarville, MS 39470-2625 | 2009-08-14 |
| 1003026717 | Forrest County General Hospital | General Acute Care Hospital | 305 W Moody St, Poplarville, MS 39470 | 2007-05-23 |
| 1477601177 | Forrest County General Hospital | Pathology | 300 S 29th Ave, Hattiesburg, MS 39401-7127 | 2007-01-08 |
| 1013002724 | Forrest County General Hospital | Hospice Care, Community Based | 1414 S 28th Ave, Hattiesburg, MS 39402-3107 | 2006-10-04 |
| 1336256700 | Forrest County General Hospital | Hospice Care, Community Based | 1414 South 28th Ave, Hattiesburg, MS 39402 | 2006-08-23 |
| 1053350462 | Forrest County General Hospital | General Acute Care Hospital | 130 Highland Parkway, Picayune, MS 39466-3221 | 2006-06-05 |
| Street Address |
1 LINCOLN PKWY STE 202 |
| City | HATTIESBURG |
| State | MS |
| Zip Code | 39402-3261 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154351815 | Theresa P Woolbright | Nurse Practitioner | 1 Lincoln Pkwy Ste 202, Hattiesburg, MS 39402-3261 | 2006-07-05 |
| 1972642585 | Randall L Sherman | Psychiatry & Neurology | 1 Lincoln Pkwy Ste 202, Hattiesburg, MS 39402-3261 | 2007-02-06 |
| 1578602199 | Donna Dimarco Tomlinson | Nurse Practitioner | 1 Lincoln Pkwy Ste 202, Hattiesburg, MS 39402-3261 | 2007-02-06 |
| 1447356902 | South Mississippi Health Service, Inc | Psychologist | 1 Lincoln Pkwy Ste 202, Hattiesburg, MS 39402-3261 | 2006-09-15 |
| 1689780421 | Shelley S Cochran | Nurse Practitioner | 1 Lincoln Pkwy Ste 202, Hattiesburg, MS 39402-3261 | 2006-08-22 |
| 1447366190 | Kenneth D Mcgill | Marriage & Family Therapist | 1 Lincoln Pkwy Ste 202, Hattiesburg, MS 39402-3261 | 2006-08-22 |
| 1982717997 | Deborah Virginia Gross | Psychiatry & Neurology | 1 Lincoln Pkwy Ste 202, Hattiesburg, MS 39402-3261 | 2006-08-16 |
| 1174636195 | Joanna Michelle Hardy | Nurse Practitioner | 1 Lincoln Pkwy Ste 202, Hattiesburg, MS 39402-3261 | 2006-08-16 |
| 1558379776 | Sergio I Gutierrez | Social Worker | 1 Lincoln Pkwy Ste 202, Hattiesburg, MS 39402-3261 | 2006-08-03 |
| 1255356044 | Teresa Gayle Mulvihill | Psychiatry & Neurology | 1 Lincoln Pkwy Ste 202, Hattiesburg, MS 39402-3261 | 2006-07-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518572965 | Resilient Therapy and Solutions, Pllc | Clinic/Center | 5266 Old Hwy 11 Ste 50, #308, Hattiesburg, MS 39402 | 2020-09-12 |
| 1932710225 | Jones County Medical Supplies, Inc | Durable Medical Equipment & Medical Supplies | 6424 Hwy 98 West, Suite 20, Hattiesburg, MS 39402 | 2020-08-11 |
| 1467086736 | Elizabeth A. Perry | Technician | 1220 Marrie St, Hattiesburg, MS 39402 | 2020-02-26 |
| 1225678063 | Connor Gregory Galloway | Physical Therapist | 3688 Veteran Memorial Drive, Hattiesburg, MS 39402 | 2020-01-09 |
| 1487291456 | Megan Marie Smith | Social Worker | 11 Woodstone Plaza, Hattiesburg, MS 39402 | 2019-12-09 |
| 1821656612 | Julie Covington Mcmahan | Dentist | 100 Madison Plaza, Hattiesburg, MS 39402 | 2019-06-05 |
| 1295392074 | Hattiesburg Clinic, Pa | Preventive Medicine | 6414 Highway 98, Suite 120, Hattiesburg, MS 39402 | 2019-05-28 |
| 1760945356 | Rachandeep Chahal | Student in an Organized Health Care Education/Training Program | 5001 Hardy Street Merit Health Wesley, Hattiesburg, MS 39402 | 2019-04-10 |
| 1386101137 | Courtney L Smith | Behavior Technician | 32 Millbanch Road, Suite 40, Hattiesburg, MS 39402 | 2019-02-28 |
| 1891269940 | Amanda Laine Mcarthur-macisaac | Registered Nurse | 5909 Highway 49 South, Suite 30, Hattiesburg, MS 39402 | 2019-01-11 |
| Find all providers in zip 39402 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508808015 | James Stephen Sabin | Psychiatry & Neurology | 120 S 25th Ave, Hattiesburg, MS 39401-6030 | 2006-06-11 |
| 1447291208 | Elizabeth Ann S Roberson | Psychiatry & Neurology | 239 Methodist Blvd, Hattiesburg, MS 39402-1297 | 2006-06-10 |
| 1881195618 | Hattiesburg Clinic, Pa | Psychiatry & Neurology | 1 Lincoln Pkwy Ste 302, Hattiesburg, MS 39402-3261 | 2018-02-27 |
| 1053609586 | Roopsi Bassi | Psychiatry & Neurology | 1 Lincoln Pkwy, Suite 202, Hattiesburg, MS 39402-3262 | 2011-07-18 |
| 1851681969 | Tasheitha Anazia | Psychiatry & Neurology | 1 Lincoln Pkwy, Suite 302, Hattiesburg, MS 39402-3262 | 2011-04-10 |
| 1407052228 | Venkatasubramanian Baskararajan | Psychiatry & Neurology | 1 Lincoln Pkwy, Suite 202, Hattiesburg, MS 39402-3262 | 2007-06-27 |
| 1538377981 | Shelton Allison | Psychiatry & Neurology | 1 Lincoln Pkwy, Sutie 202, Hattiesburg, MS 39402-3262 | 2007-05-18 |
| 1013047703 | Raymond L Struck | Psychiatry & Neurology | 103 S 19th Ave, Hattiesburg, MS 39401-6171 | 2007-03-06 |
| 1689710410 | Jacqueline Anne Wiebe | Psychiatry & Neurology | 118 College Dr, 5066, Hattiesburg, MS 39406 | 2007-01-29 |
| 1760563548 | Roger Anastasio | Psychiatry & Neurology | 103 S 19th Ave, Hattiesburg, MS 39401-6171 | 2006-10-18 |
| Find all providers in HATTIESBURG | ||||
| City | HATTIESBURG |
| Zip Code | 39402 |
Please comment or provide details below to improve the information on FORREST COUNTY GENERAL HOSPITAL.
| 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.