FORREST COUNTY GENERAL HOSPITAL (NPI# 1619008174) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619008174 |
| Entity Type | Organization |
| Organization Name | FORREST COUNTY GENERAL HOSPITAL |
| Other Organization Name | HIGHLAND INTERNAL MEDICINE CLINIC |
| Practice Address |
200 Country Club Rd Carriere MS 39426 |
| Mailing Address |
Po Box 15722 Hattiesburg MS 39404-5722 |
| Practice Telephone | 6017994777 |
| Practice Fax Number | 6017990052 |
| Mailing Telephone | 6012881823 |
| Mailing Fax Number | 6012881877 |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2017-12-07 |
| Authorized Official Name | DAVID PYLATE (PATIENT ACCOUNTS MANAGER) |
| Authorized Official Telephone | 6012881864 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | MEDICARE INDIVIDUAL | 110001530 | 01 |
| MEDICARE RAILROAD | P007466664 | 01 | |
| MS | 09520729 | 05 | |
| LA | 1658723 | 05 |
| Other Name | Type Code |
|---|---|
| Highland Internal Medicine Clinic | 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 |
200 COUNTRY CLUB RD |
| City | CARRIERE |
| State | MS |
| Zip Code | 39426 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407837503 | Ahmad A Haidar | Internal Medicine | 200 Country Club Rd, Carriere, MS 39426-9037 | 2005-11-07 |
| 1285108662 | Sara A Duncan | Family Medicine | 200 Country Club Rd, Carriere, MS 39426 | 2019-01-18 |
| 1326584822 | Jonathan Trahan | Nurse Practitioner | 200 Country Club Rd, Carriere, MS 39426-9037 | 2017-01-09 |
| 1891150629 | Picayune Pediatrics LLC | Preferred Provider Organization | 200 Country Club Rd, Carriere, MS 39426-9037 | 2015-12-21 |
| 1215277652 | Kids Klinic LLC | Clinic/Center | 200 Country Club Rd, Carriere, MS 39426-9037 | 2013-02-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689866477 | Lambert Dental PC | Dentist | 6480 Hwy 11 North, Carriere, MS 39426 | 2007-08-15 |
| 1427115641 | Aquatic Therapy Services, LLC | Clinic/Center | 10 Carrie Mitchell Rd, Carriere, MS 39426 | 2007-01-03 |
| 1679035273 | Align Health LLC | Non-emergency Medical Transport (VAN) | 74 Pops Rdg, Carriere, MS 39426-5142 | 2019-04-02 |
| 1093325409 | Justin Robert Ragon | Nurse Practitioner | 40 Roosters Ln, Carriere, MS 39426-7022 | 2020-07-31 |
| 1235200304 | John W Houston | Physical Therapist | 48 Camellia Rd, Carriere, MS 39426-7077 | 2006-11-12 |
| 1093927220 | Devereux and Nguyen LLC | Dentist | 6420 Highway 11, Suite C, Carriere, MS 39426-7145 | 2007-05-03 |
| 1790274603 | Gregory Goggans, D.m.d., P.C. | Dentist | 6420 Highway 11 N Ste C, Carriere, MS 39426-7146 | 2018-05-07 |
| 1407358146 | Melissa Loewen | Specialist/Technologist | 7407 Highway 11, Carriere, MS 39426-7484 | 2018-03-07 |
| 1679882690 | Ronald William Buie | Acupuncturist | 6682 Highway 11, Suite 103, Carriere, MS 39426-7554 | 2010-09-27 |
| 1386701944 | Debbie L Moore | Chiropractor | 6682 Highway 11 N, Suite 103, Carriere, MS 39426-7554 | 2007-01-03 |
| Find all providers in zip 39426 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497391288 | Ahmad Abdali Haidar Md Pa | Internal Medicine | 200 Golf Course Dr, Carriere, MS 39426-9037 | 2019-11-27 |
| 1407837503 | Ahmad A Haidar | Internal Medicine | 200 Country Club Rd, Carriere, MS 39426-9037 | 2005-11-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275148264 | Ludmila Nahar | Internal Medicine | 18 Windwood Cv, Flowood, MS 39232-7921 | 2020-09-15 |
| 1013533637 | Ochsner Mississippi, LLC | Internal Medicine | 111 N Cleveland Ave, Long Beach, MS 39560-4713 | 2020-06-19 |
| 1215556048 | Hannah Roberts Badon | Internal Medicine | 2450 Wild Valley Dr, Jackson, MS 39211-6224 | 2020-04-12 |
| 1649809476 | Rachel Horn Mullins | Internal Medicine | 5379 Fairway St, Jackson, MS 39211-4251 | 2020-04-03 |
| 1437711991 | Amanda L Wiltshire | Internal Medicine | 1300 Sunset Dr Ste A, Grenada, MS 38901-4081 | 2019-07-05 |
| 1447812540 | Waqaar Ahmed Arshad | Internal Medicine | 3226 Kendrick Rd Apt 14, Corinth, MS 38834-9207 | 2019-06-28 |
| 1023675048 | Fitvisits LLC | Internal Medicine | 731 S Pear Orchard Rd Ste 16, Ridgeland, MS 39157-4800 | 2019-05-24 |
| 1629542832 | Internal Medicine Primary Care Pa | Internal Medicine | 140 Daughdrill Sta, Flowood, MS 39232-8406 | 2019-01-22 |
| 1003313180 | Ochsner Mississippi, LLC | Internal Medicine | 4550 Shepherd Sq, Diamondhead, MS 39525-3325 | 2018-04-06 |
| 1619477577 | Ochsner Mississippi, LLC | Internal Medicine | 202 Drinkwater Rd, Bay St Louis, MS 39520-1638 | 2018-02-17 |
| 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.