WOMENS PAVILION OF SOUTH MISSISSIPPI PLLC (NPI# 1760882815) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760882815 |
| Entity Type | Organization |
| Organization Name | WOMENS PAVILION OF SOUTH MISSISSIPPI PLLC |
| Practice Address |
5003 Hardy St Suite 300 Hattiesburg MS 39402-1319 |
| Mailing Address |
6524 U S Highway 98 Hattiesburg MS 39402-8569 |
| Practice Telephone | 6012689393 |
| Practice Fax Number | 6012689559 |
| Mailing Telephone | 6012689393 |
| Mailing Fax Number | 6012689559 |
| Enumeration Date | 2014-08-26 |
| Last Update Date | 2015-10-30 |
| Authorized Official Name | MS. DENISE HURST FARRINGTON (ADMINISTRATOR) |
| Authorized Official Telephone | 6012689393 |
| Authorized Official Credential | MBA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians |
| 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 |
| 1548640642 | Womens Pavilion of South Mississippi Pllc | Clinic/Center | 5003 Hardy St, Suite 350, Hattiesburg, MS 39402-1319 | 2015-06-03 |
| 1407235971 | Womens Pavilion of South Mississippi Pllc | Obstetrics & Gynecology | 1242 Highway 29 N, Ellisville, MS 39437-8763 | 2015-05-29 |
| Street Address |
5003 HARDY ST SUITE 300 |
| 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 |
| 1548640642 | Womens Pavilion of South Mississippi Pllc | Clinic/Center | 5003 Hardy St, Suite 350, Hattiesburg, MS 39402-1319 | 2015-06-03 |
| 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 | 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 |
| 1629403480 | Forrest County General Hospital | Obstetrics & Gynecology | 1 Lincoln Pkwy, Suite 103, Hattiesburg, MS 39402-3262 | 2013-09-11 |
| 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 |
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.