WOMENS PAVILION OF SOUTH MISSISSIPPI PLLC (NPI# 1548640642) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548640642 |
| Entity Type | Organization |
| Organization Name | WOMENS PAVILION OF SOUTH MISSISSIPPI PLLC |
| Practice Address |
5003 Hardy St Suite 350 Hattiesburg MS 39402-1319 |
| Mailing Address |
6524 U S Highway 98 Hattiesburg MS 39402-8569 |
| Practice Telephone | 6014509425 |
| Mailing Telephone | 6012689393 |
| Enumeration Date | 2015-06-03 |
| Last Update Date | 2017-03-03 |
| Authorized Official Name | MS. DENISE H FARRINGTON (ADMINISTRATOR) |
| Authorized Official Telephone | 6014509425 |
| Authorized Official Credential | MBA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 05439065 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922184274 | Womens Pavilion of South Mississippi Pllc | Obstetrics & Gynecology | 5003 Hardy St Ste 350, Hattiesburg, MS 39402-1323 | 2006-10-30 |
| 1407235971 | Womens Pavilion of South Mississippi Pllc | Obstetrics & Gynecology | 1242 Highway 29 N, Ellisville, MS 39437-8763 | 2015-05-29 |
| 1760882815 | Womens Pavilion of South Mississippi Pllc | Obstetrics & Gynecology | 5003 Hardy St, Suite 300, Hattiesburg, MS 39402-1319 | 2014-08-26 |
| Street Address |
5003 HARDY ST SUITE 350 |
| City | HATTIESBURG |
| State | MS |
| Zip Code | 39402-1319 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679576458 | Claire C Morgan | Pediatrics | 5003 Hardy St, Hattiesburg, MS 39402-1319 | 2005-05-24 |
| 1295288033 | Jill Nicholas | Nurse Practitioner | 5003 Hardy St, Hattiesburg, MS 39402-1319 | 2016-07-28 |
| 1760882815 | Womens Pavilion of South Mississippi Pllc | Obstetrics & Gynecology | 5003 Hardy St, Suite 300, Hattiesburg, MS 39402-1319 | 2014-08-26 |
| 1750667002 | Premier Orthopaedics & Sports Medicine, Pllc | Orthopaedic Surgery | 5003 Hardy St, Suite 401, Hattiesburg, MS 39402-1319 | 2011-11-01 |
| 1982744348 | Hattiesburg Neonatology, Pllc | Pediatrics | 5003 Hardy St, Suite 302, Hattiesburg, MS 39402-1319 | 2007-02-07 |
| 1073612651 | Neurosurgery of Hattiesburg, Pa | Neurological Surgery | 5003 Hardy St, Ste 401, Hattiesburg, MS 39402-1319 | 2006-09-21 |
| 1083691489 | Tracy Roseberry | Nurse Practitioner | 5003 Hardy St, Suite 350, Hattiesburg, MS 39402-1319 | 2005-12-27 |
| 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 | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
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| 1730786120 | Ochsner Medical Center - Hancock, LLC | Clinic/Center | 2274 Highway 43 S Ste 200, Picayune, MS 39466-8141 | 2020-10-08 |
| 1306460282 | Covington County Hospital | Clinic/Center | 105 Eaton St, Taylorsville, MS 39168-5614 | 2020-06-05 |
| 1871117747 | Covington County Hospital | Clinic/Center | 1039 Highway 42 Ste C, Sumrall, MS 39482-4478 | 2020-06-05 |
| 1194365338 | Bounds Family Medical | Clinic/Center | 870 Main St Ste A, Fayette, MS 39069-5695 | 2020-01-15 |
| 1720649577 | Boa Vida Hospital of Aberdeen, Ms, LLC | Clinic/Center | 19 Third St, Belmont, MS 38827 | 2019-06-24 |
| 1255999611 | Boa Vida Hospital of Aberdeen, Ms LLC | Clinic/Center | 400 3rd Ave 32 West, New Houlka, MS 38850 | 2019-05-31 |
| 1598238545 | South Sunflower County Hospital | Clinic/Center | 1001 West Delta, Moorhead, MS 38761 | 2019-01-02 |
| 1790272185 | Boa Vida Hospital of Aberdeen, Ms, LLC | Clinic/Center | 670 Ms-178, Suite 5, Sherman, MS 38869 | 2018-04-20 |
| 1124515515 | Boa Vida Hospital of Aberdeen, Ms, LLC | Clinic/Center | 2200 5th St N, Columbus, MS 39705-2212 | 2018-04-20 |
| 1205323698 | Boa Vida Hospital of Aberdeen, Ms, LLC | Clinic/Center | 815 2nd Ave N, Columbus, MS 39701-4703 | 2018-04-20 |
| Find all providers with the same taxonomy | ||||
| City | HATTIESBURG |
| Zip Code | 39402 |
Please comment or provide details below to improve the information on WOMENS PAVILION OF SOUTH MISSISSIPPI PLLC.
| 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.