HEAD AND NECK SURGERY CENTER, LLC (NPI# 1508933797) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508933797 |
| Entity Type | Organization |
| Organization Name | HEAD AND NECK SURGERY CENTER, LLC |
| Practice Address |
107 Millsaps Dr Hattiesburg MS 39402-1348 |
| Mailing Address |
107 Millsaps Drive Hattiesburg MS 39402 |
| Practice Telephone | 6012685131 |
| Practice Fax Number | 6012685138 |
| Mailing Telephone | 6012685131 |
| Mailing Fax Number | 6012685138 |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2010-02-04 |
| Authorized Official Name | DR. CHARLES EDWIN GUICE III (PRESIDENT) |
| Authorized Official Telephone | 6012685131 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | H&N RAILROAD MEDICARE NUM | 49003039 | 01 |
| MS | 00770145 | 05 |
| Street Address |
107 MILLSAPS DR |
| City | HATTIESBURG |
| State | MS |
| Zip Code | 39402-1348 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962463968 | James Robert Coltharp Jr. | Otolaryngology | 107 Millsaps Dr, Hattiesburg, MS 39402 | 2006-03-29 |
| 1417339268 | Aboorva Kambiliampatti Sudhakar | Internal Medicine | 107 Millsaps Dr, Hattiesburg, MS 39402-1348 | 2015-06-28 |
| 1750554671 | Debra A Boyer | Audiologist | 107 Millsaps Dr, Hattiesburg, MS 39402-1348 | 2008-04-11 |
| 1801069745 | Lyerly Burke Christensen | Audiologist | 107 Millsaps Dr, Hattiesburg, MS 39402-1348 | 2008-04-11 |
| 1063619047 | Melissa Attkisson Wheat | Audiologist | 107 Millsaps Dr, Hattiesburg, MS 39402-1348 | 2007-07-02 |
| 1881769032 | Ear, Nose and Throat & Facial Plastic Surgery, P.a. | Otolaryngology | 107 Millsaps Dr, Hattiesburg, MS 39402-1348 | 2006-11-22 |
| 1922069921 | Curtis Scott Childress | Otolaryngology | 107 Millsaps Dr, Hattiesburg, MS 39402 | 2006-03-29 |
| 1831150838 | Charles Edwin Guice IIi | Otolaryngology | 107 Millsaps Dr, Hattiesburg, MS 39402 | 2006-03-29 |
| 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 | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629300512 | Bellevue Surgery Center, LLC | Clinic/Center | 7125 Highway 98, Bellevue Surgery Center, LLC, Hattiesburg, MS 39402 | 2010-02-03 |
| 1922011501 | Lowery A. Woodall Outpatient Surgery Facility, LLC | Clinic/Center | 105 S 28th Ave, Hattiesburg, MS 39401-7152 | 2006-08-14 |
| 1912906157 | Southern Surgery Center, LLC | Clinic/Center | 3688 Veterans Memorial Dr, Suite 100, Hattiesburg, MS 39401-8246 | 2005-07-19 |
| 1538776679 | Hattiesburg Clinic, Pa | Clinic/Center | 415 S 28th Ave, Hattiesburg, MS 39401-7246 | 2020-09-23 |
| 1023343720 | Hattiesburg Surgery Center, LLC | Clinic/Center | 139 Fairfield Drive, Hattiesburg, MS 39402 | 2009-10-14 |
| 1578898276 | Southern Urology Surgery Center, LLC | Clinic/Center | 139 Fairfield Drive, Hattiesburg, MS 39402 | 2009-10-14 |
| 1528206141 | Hattiesburg Eye Clinic Cataract & Lasik Surgery Center, LLC | Clinic/Center | 103 Millsaps Dr, Hattiesburg, MS 39402-1348 | 2009-02-04 |
| 1811144348 | Southern Eye Center P.a. II | Clinic/Center | 1420 S 28th Ave, Hattiesburg, MS 39402-3107 | 2008-08-27 |
| 1417112277 | Southern Eye Surgery Center LLC | Clinic/Center | 1420 S 28th Ave, Hattiesburg, MS 39402-3107 | 2008-07-22 |
| 1962688358 | Psch, LLC | Clinic/Center | 40 Franklin Rd, Hattiesburg, MS 39402-1318 | 2008-01-15 |
| Find all providers in HATTIESBURG | ||||
| City | HATTIESBURG |
| Zip Code | 39402 |
Please comment or provide details below to improve the information on HEAD AND NECK SURGERY CENTER, LLC.
| 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.