DIAMONDHEAD URGENT CARE (NPI# 1659673606) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659673606 |
| Entity Type | Organization |
| Organization Name | DIAMONDHEAD URGENT CARE |
| Practice Address |
4402 E Aloha Dr Suite 16 Diamondhead MS 39525-3349 |
| Practice Telephone | 2283649001 |
| Practice Fax Number | 2283649004 |
| Mailing Telephone | 2283649001 |
| Mailing Fax Number | 2283649004 |
| Enumeration Date | 2010-11-24 |
| Last Update Date | 2011-02-02 |
| Authorized Official Name | MR. JAMES W EMBRY (CEO/FAMILY NURSE PRACTITIONER,) |
| Authorized Official Telephone | 3373444492 |
| Authorized Official Credential | FNP-C |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
Ambulatory Health Care Facilities |
| Street Address |
4402 E ALOHA DR SUITE 16 |
| City | DIAMONDHEAD |
| State | MS |
| Zip Code | 39525-3349 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285187930 | Micah Anthony Ladner | Nurse Practitioner | 4402 E Aloha Dr, Suite 15, Diamondhead, MS 39525-3349 | 2016-07-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447762042 | South Mississippi Home Care, LLC | Home Health | 56128 Diamondhead Dr E, Diamondhead, MS 39525 | 2017-11-04 |
| 1093247553 | Deedy Killen | Registered Nurse | 124a Lakeside Villa Bldg C, Diamondhead, MS 39525 | 2017-04-03 |
| 1730502055 | Hancock Medical Health Services | Clinic/Center | 5435 Gex Road, Diamondhead, MS 39525 | 2014-01-22 |
| 1760756423 | Catherine Michelle Brashear | Nurse Practitioner | 4045b Shepards Square, Diamondhead, MS 39525 | 2012-02-28 |
| 1669745303 | Christopher Byron Arcement | Nurse Practitioner | 5435 Gex Rd., Diamondhead, MS 39525 | 2012-02-10 |
| 1184894354 | Gary S. Porter | Nurse Practitioner | 4540 B Shepherds Squard, Diamondhead, MS 39525 | 2008-03-04 |
| 1003007006 | Hancock Medical Center | Clinic/Center | 4540 Shepherd Square, Suite B, Diamondhead, MS 39525 | 2007-08-05 |
| 1346461423 | Charles Eugene Harris | Psychologist | 5427-a Gex Rd, Diamondhead, MS 39525 | 2007-05-02 |
| 1548318025 | Total Rehab Plus LLC | Physical Therapist | 4363 C Leisuretime Dr, Diamondhead, MS 39525 | 2007-01-08 |
| 1356445944 | Cornelia H. Swayze | Social Worker | 4387 Leisure Time Drive, Diamondhead, MS 39525 | 2006-09-12 |
| Find all providers in zip 39525 | ||||
| Taxonomy Code | 261QU0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Urgent Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003007006 | Hancock Medical Center | Clinic/Center | 4540 Shepherd Square, Suite B, Diamondhead, MS 39525 | 2007-08-05 |
| 1922317478 | Hancock Medical Health Services, Inc. | Clinic/Center | 5435 Gex Rd, Diamondhead, MS 39525-3208 | 2010-10-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336749274 | Medplus Starkville LLC | Clinic/Center | 1207 Ms 182, Starkville, MS 39759 | 2020-10-29 |
| 1497384895 | Alliance Urgent Care Clinic | Clinic/Center | 1938 Crescent Meadows Dr Ste C, Holly Springs, MS 38635-7419 | 2020-04-07 |
| 1174168637 | Redmed, LLC | Clinic/Center | 1902 Jackson Ave W Ste B, Oxford, MS 38655-4206 | 2019-11-08 |
| 1568007094 | Redmed, LLC | Clinic/Center | 105a Quality Ln, Senatobia, MS 38668-2317 | 2019-11-07 |
| 1780151381 | Express Care of Cleveland, LLC | Clinic/Center | 609 N Davis Ave Ste 105, Cleveland, MS 38732-2355 | 2018-11-01 |
| 1316420888 | Hunter Asset Holding LLC | Clinic/Center | 350 W Woodrow Wilson Ave Ste 311b, Jackson, MS 39213-7682 | 2018-09-11 |
| 1366922023 | Physician Services of The Gulf Coast LLC | Clinic/Center | 921 Cedar Lake Rd Ste E, Biloxi, MS 39532-2126 | 2018-08-21 |
| 1235619479 | Maxem Health Urgent Care Mccomb | Clinic/Center | 101 Edgewood Dr, Mccomb, MS 39648-2043 | 2018-08-16 |
| 1700372034 | Gmuc of Lucedale, PC | Clinic/Center | 103 W Frontage Rd Ste C, Lucedale, MS 39452-5836 | 2018-07-10 |
| 1285126227 | Medplus Fulton, LLC | Clinic/Center | 407 Interchange Drive, Fulton, MS 38843 | 2018-06-05 |
| Find all providers with the same taxonomy | ||||
| City | DIAMONDHEAD |
| Zip Code | 39525 |
Please comment or provide details below to improve the information on DIAMONDHEAD URGENT CARE.
| 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.