FORREST COUNTY GENERAL HOSPITAL (NPI# 1629403480) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629403480 |
| Entity Type | Organization |
| Organization Name | FORREST COUNTY GENERAL HOSPITAL |
| Other Organization Name | OB-GYN GROUP - FORREST HEALTH |
| Practice Address |
1 Lincoln Pkwy Suite 103 Hattiesburg MS 39402-3262 |
| Mailing Address |
Po Box 16389 Hattiesburg MS 39404-6389 |
| Practice Telephone | 6012882474 |
| Enumeration Date | 2013-09-11 |
| Last Update Date | 2016-11-30 |
| NPI Deactivation Date | 03/17/2015 |
| NPI Reactivation Date | 2016-11-30 |
| Authorized Official Name | RICHARD WOODARD (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 6012882892 |
| Is Organization Subpart | Y |
| Parent Organization Name | FORREST COUNTY GENERAL HOSPITAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| OB-GYN Group - Forrest Health | 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 SUITE 103 |
| City | HATTIESBURG |
| State | MS |
| Zip Code | 39402-3262 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669486692 | Brent D Bevard | Physical Medicine & Rehabilitation | 1 Lincoln Pkwy, Suite 103, Hattiesburg, MS 39402-3262 | 2006-07-27 |
| 1346691714 | Billy J Thornton | Nurse Practitioner | 1 Lincoln Pkwy, Suite 202, Hattiesburg, MS 39402-3262 | 2016-06-28 |
| 1568874808 | Lacey Loy Herrington | Student in an Organized Health Care Education/Training Program | 1 Lincoln Pkwy, Hattiesburg, MS 39402-3262 | 2014-05-21 |
| 1790104750 | Southern Laboratory Services, LLC | Clinical Medical Laboratory | 1 Lincoln Pkwy, Suite 101, Hattiesburg, MS 39402-3262 | 2014-04-07 |
| 1710302922 | Tamra Lynn Thomas | Nurse Practitioner | 1 Lincoln Pkwy, Suite 202, Hattiesburg, MS 39402-3262 | 2014-02-25 |
| 1356774772 | Christina I Williams | Psychologist | 1 Lincoln Pkwy, Suite 202, Hattiesburg, MS 39402-3262 | 2013-08-21 |
| 1447682729 | Steffany Bedwell | Nurse Practitioner | 1 Lincoln Pkwy, Suite 103, Hattiesburg, MS 39402-3262 | 2013-08-08 |
| 1689016065 | Philip C Hemphill | Social Worker | 1 Lincoln Pkwy, Suite 204, Hattiesburg, MS 39402-3262 | 2013-07-25 |
| 1023350006 | Lincoln Center Clinic | Family Medicine | 1 Lincoln Pkwy, Suite 302, Hattiesburg, MS 39402-3262 | 2013-03-18 |
| 1750630232 | Health Partners, Pa | Clinic/Center | 1 Lincoln Pkwy, Suite 302, Hattiesburg, MS 39402-3262 | 2012-08-30 |
| 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 | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871732032 | Marcus Leon Hogan | Obstetrics & Gynecology | 6111 U S Highway 49, Hattiesburg, MS 39401-7170 | 2009-02-11 |
| 1922184274 | Womens Pavilion of South Mississippi Pllc | Obstetrics & Gynecology | 5003 Hardy St Ste 350, Hattiesburg, MS 39402-1323 | 2006-10-30 |
| 1972576460 | Marion Catherine Sessums | Obstetrics & Gynecology | 6524 U S Highway 98, Hattiesburg, MS 39402-8569 | 2006-02-07 |
| 1821093691 | John Michael Woods | Obstetrics & Gynecology | 62 Old Airport Rd, Hattiesburg, MS 39401 | 2005-06-16 |
| 1760882815 | Womens Pavilion of South Mississippi Pllc | Obstetrics & Gynecology | 5003 Hardy St, Suite 300, Hattiesburg, MS 39402-1319 | 2014-08-26 |
| 1629418074 | Shantele Hinton Bolton | Obstetrics & Gynecology | 6524 U S Highway 98, Hattiesburg, MS 39402-8569 | 2013-06-30 |
| 1659635027 | Amanda Dawn Sellers | Obstetrics & Gynecology | 421 S 28th Ave, Suite 200, Hattiesburg, MS 39401-7206 | 2012-06-29 |
| 1265744437 | Lauren Ayres Bethea | Obstetrics & Gynecology | 421 S 28th Ave, Suite 200, Hattiesburg, MS 39401-7206 | 2010-07-05 |
| 1497918825 | Andrea Mcdaniel Carter | Obstetrics & Gynecology | 6524 U S Highway 98, Hattiesburg, MS 39402-8569 | 2008-07-07 |
| 1518131754 | Benjamin C Moore | Obstetrics & Gynecology | 421 S 28th Ave, Suite 200, Hattiesburg, MS 39401-7206 | 2008-04-18 |
| Find all providers in HATTIESBURG | ||||
| City | HATTIESBURG |
| Zip Code | 39402 |
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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.