SOUTHWEST MISSISSIPPI REGIONAL MEDICAL CENTER (NPI# 1821048893) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821048893 |
| Entity Type | Organization |
| Organization Name | SOUTHWEST MISSISSIPPI REGIONAL MEDICAL CENTER |
| Other Organization Name | AMITE COUNTY FAMILY PRACTICE |
| Practice Address |
7900 Highway 570 Summit MS 39666-7563 |
| Practice Telephone | 6012490052 |
| Practice Fax Number | 6012492226 |
| Mailing Telephone | 6012490052 |
| Mailing Fax Number | 6012492226 |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2008-01-28 |
| Authorized Official Name | MISS DAVID SINCLAIR (DIRECTOR) |
| Authorized Official Telephone | 6012492701 |
| 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 | 02435029 | 05 |
| Other Name | Type Code |
|---|---|
| AMITE COUNTY FAMILY PRACTICE | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700344066 | Southwest Mississippi Regional Medical Center | Surgery | 1065 E Broad St., Monticello, MS 39654 | 2019-03-06 |
| 1013107473 | Southwest Mississippi Regional Medical Center | Orthopaedic Surgery | 510a Highway 51 N, Brookhaven, MS 39601-2335 | 2007-07-31 |
| 1649386061 | Southwest Mississippi Regional Medical Center | Urology | 1015 Delaware Ave Ste B, Mccomb, MS 39648-3827 | 2006-08-21 |
| 1932159498 | Southwest Mississippi Regional Medical Center | Internal Medicine | 300 Rawls Dr Ste 200, Mccomb, MS 39648-2871 | 2006-05-12 |
| 1861442873 | Southwest Mississippi Regional Medical Center | Clinic/Center | 28 Bogue Chitto Rd Sw, Bogue Chitto, MS 39629-9488 | 2006-05-11 |
| 1689624090 | Southwest Mississippi Regional Medical Center | Internal Medicine | 300 Marion Ave, Suite C, Mccomb, MS 39648-2707 | 2006-05-10 |
| 1245289172 | Southwest Mississippi Regional Medical Center | Clinic/Center | 1167 E Broad St, Monticello, MS 39654-7682 | 2006-05-08 |
| 1366066060 | Southwest Mississippi Regional Medical Center | Clinic/Center | 300 Rawls Dr Ste 1500, Mccomb, MS 39648-2878 | 2020-05-29 |
| 1932721222 | Southwest Mississippi Regional Medical Center | Internal Medicine | 1065 E Broad St, Monticello, MS 39654-7703 | 2020-05-11 |
| 1144873910 | Southwest Mississippi Regional Medical Center | Obstetrics & Gynecology | 1318 Harrison Ave, Mccomb, MS 39648-2830 | 2019-07-22 |
| Street Address |
7900 HIGHWAY 570 |
| City | SUMMIT |
| State | MS |
| Zip Code | 39666-7563 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134236599 | David S. Snow | Family Medicine | 7900 Highway 570, Summit, MS 39666-7563 | 2006-08-23 |
| 1396123402 | Joseph Lee Dykes | Nurse Practitioner | 7900 Highway 570, Summit, MS 39666-7563 | 2015-05-08 |
| 1043493851 | Pinnacle Medical Clinic Inc | Clinic/Center | 7900 Highway 570, Summit, MS 39666-7563 | 2007-12-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912531005 | Bobbi Burns Burdett | Counselor | 377 Montgomery Rd Sw, Summit, MS 39666 | 2020-02-27 |
| 1871073908 | Southwest Pharmacy, Inc. | Pharmacy | 1121 Hwy 98 and 51, Summit, MS 39666 | 2018-08-17 |
| 1710463856 | Lucy Rena' Mikell | Nurse Practitioner | 804 Robb Street, Summit, MS 39666 | 2018-07-12 |
| 1720586332 | Summit Express Pharmacy LLC | Pharmacy | 105 S Laurel St # 1310, Summit, MS 39666 | 2018-01-29 |
| 1356891667 | Brad Fortinberry | Physical Therapist | 709 Robb Street, Summit, MS 39666 | 2016-10-11 |
| 1124432679 | Tara Lynn Felder | Pharmacist | 1121 Hwy 98/51, Summit, MS 39666 | 2014-06-12 |
| 1295166056 | Thomas Chadwick Cochran | Dietitian, Registered | 1011 Meadville Street, Summit, MS 39666 | 2013-12-04 |
| 1912281999 | Lauren Wolfarth | Occupational Therapy Assistant | 4109 Highway 98 West, Summit, MS 39666 | 2011-10-07 |
| 1902196777 | Salena J Steade | Nurse Practitioner | 7900 Hwy 570, Summit, MS 39666 | 2011-04-14 |
| 1376853531 | Rose Cancer Center | Internal Medicine | 807 Rob Street, Summit, MS 39666 | 2010-10-20 |
| Find all providers in zip 39666 | ||||
| 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 |
|---|---|---|---|---|
| 1548609381 | Michael Mobasser | Internal Medicine | 10 Overlook Rd, Summit, NJ 07901-3554 | 2013-06-14 |
| 1275845729 | Chantal Mulan Lisik | Internal Medicine | 252 Kent Place Blvd, Summit, NJ 07901 | 2010-07-12 |
| 1770771016 | Lorraine Maita | Internal Medicine | 64 River Rd Fl 1, Summit, NJ 07901-1443 | 2007-10-11 |
| 1275743510 | Victoria Elana Rand | Internal Medicine | 149 Oak Ridge Ave, Summit, NJ 07901 | 2007-05-23 |
| 1003964420 | Manoj M Trivedi | Internal Medicine | 802 Old Springfield Ave, Summit, NJ 07901-1130 | 2007-01-08 |
| 1295813996 | Nazeer Shaik | Internal Medicine | 7604 W 63rd St, Summit, IL 60501-1812 | 2006-11-01 |
| 1245330950 | Thomas E Jackson | Internal Medicine | 47 Maple St #205, Summit, NJ 07901 | 2006-09-23 |
| 1679671721 | Hospitalist Associates Inc | Internal Medicine | 99 Beauvoir Ave 8th Fl, Summit, NJ 07901 | 2006-09-20 |
| 1598878910 | Kalyani Theivanayagam | Internal Medicine | 276 Woodland Ave, Summit, NJ 07901-1437 | 2006-08-17 |
| 1528035938 | Arathi Setty | Internal Medicine | 33 Overlook Rd Ste L01, Summit, NJ 07901-3561 | 2006-03-03 |
| Find all providers in SUMMIT | ||||
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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.