THE UNIVERSITY OF SOUTHERN MISSISSIPPI (NPI# 1821490723) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821490723 |
| Entity Type | Organization |
| Organization Name | THE UNIVERSITY OF SOUTHERN MISSISSIPPI |
| Other Organization Name | USM SPORTS MEDICINE AND REHABILITATION |
| Practice Address |
118 College Dr 5017 Hattiesburg MS 39406-0002 |
| Mailing Address |
5050 Spring Valley Rd Dallas TX 75244-3995 |
| Practice Telephone | 6012665401 |
| Practice Fax Number | 6012666821 |
| Mailing Telephone | 8005559073 |
| Mailing Fax Number | 9723673452 |
| Enumeration Date | 2014-09-23 |
| Last Update Date | 2014-09-23 |
| Authorized Official Name | TODD MCCALL (HEAD ATHLETICS TRAINER) |
| Authorized Official Telephone | 6012665401 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| USM Sports Medicine and Rehabilitation | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629395769 | The University of Southern Mississippi | Audiologist-Hearing Aid Fitter | 118 College Drive, #5092, Hattiesburg, MS 39406-0001 | 2010-04-29 |
| 1952509580 | The University of Southern Mississippi | Early Intervention Provider Agency | 118 College Dr # 5163, Hattiesburg, MS 39406-0001 | 2007-07-05 |
| Street Address |
118 COLLEGE DR 5017 |
| City | HATTIESBURG |
| State | MS |
| Zip Code | 39406-0002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194790212 | Jeffrey J Parr | Specialist/Technologist | 118 College Dr, Hattiesburg, MS 39406-7500 | 2006-02-22 |
| 1982211496 | Jessica Lero | Student in an Organized Health Care Education/Training Program | 118 College Dr, Hattiesburg, MS 39406-0002 | 2020-09-29 |
| 1174130900 | Jayson Jerome Hunter | Specialist/Technologist | 118 College Dr, Hattiesburg, MS 39406-0002 | 2020-09-25 |
| 1578170429 | Ranesha Cook | Student in an Organized Health Care Education/Training Program | 118 College Dr, Hattiesburg, MS 39406-0002 | 2020-09-24 |
| 1437766540 | Trinity Latrice Mcclain | Student in an Organized Health Care Education/Training Program | 118 College Dr, Hattiesburg, MS 39406-0002 | 2020-09-23 |
| 1255947461 | Madison Grace Mitchell | Student in an Organized Health Care Education/Training Program | 118 College Dr, Hattiesburg, MS 39406-0002 | 2020-09-22 |
| 1346852118 | Cristy Collins | Student in an Organized Health Care Education/Training Program | 118 College Dr, Hattiesburg, MS 39406-0001 | 2020-08-21 |
| 1609411255 | Brianna Renee Welch | Student in an Organized Health Care Education/Training Program | 118 College Dr, Hattiesburg, MS 39406-0002 | 2019-11-07 |
| 1750926382 | Sabrina Harkins | Student in an Organized Health Care Education/Training Program | 118 College Dr, Hattiesburg, MS 39406-0002 | 2019-11-06 |
| 1700420973 | Holly Elmore | Student in an Organized Health Care Education/Training Program | 118 College Dr, Hattiesburg, MS 39406-0002 | 2019-10-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427559731 | Regan Ashley Nicholson I | Specialist/Technologist | 118 College Dr., Hattiesburg, MS 39406 | 2018-02-22 |
| 1083038590 | Christopher Clapton | Specialist/Technologist | 118 College Dr # 5017, Hattiesburg, MS 39406 | 2014-02-05 |
| 1396225025 | Leslie Oglesby | Specialist/Technologist | 118 College Dr # 5122, Hattiesburg, MS 39406-0001 | 2018-08-21 |
| 1689033268 | Chandra Nicole Strange | Psychologist | 118 College Dr # 5025, Hattiesburg, MS 39406-0001 | 2016-02-11 |
| 1710359922 | Chantel Nicole Chatham | Dietitian, Registered | 118 College Dr # 5114, Hattiesburg, MS 39406-0001 | 2015-10-27 |
| 1700272432 | Southern Miss Autism Research Team (smart) Clinic | Behavioral Analyst | 118 College Dr Box 5025, University of Southern Mississippi, Hattiesburg, MS 39406-0001 | 2015-04-09 |
| 1659781474 | Stephen Craig English Jr. | Physician Assistant | 118 College Dr Box 5066, Hattiesburg, MS 39406-0001 | 2014-05-01 |
| 1215273032 | University of Southern Mississippi | Speech-Language Pathologist | 118 College Dr Box 5215, Hattiesburg, MS 39406-0001 | 2012-12-26 |
| 1225385198 | Dedra Clark-allen | Speech-Language Pathologist | The Dubard School for Language Disorders, 118 College Drive #5215, Hattiesburg, MS 39406-0001 | 2012-08-10 |
| 1376813394 | Marcelle C Jones | Speech-Language Pathologist | Kay James Dr, Hattiesburg, MS 39406-0001 | 2012-01-06 |
| Find all providers in zip 39406 | ||||
| Taxonomy Code | 207XX0005X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Sports Medicine |
| An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source changed] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. ACGME Accredited Program Requirements: 1 year GME in the specialty + 5 years of Orthopaedic Surgery for a total of 6 years |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992737118 | Douglas W Rouse | Orthopaedic Surgery | 3688 Veterans Memorial Dr, Suite 200, Hattiesburg, MS 39401-8246 | 2006-07-07 |
| 1427087592 | Lawrence L Line Jr. | Orthopaedic Surgery | 3688 Veterans Memorial Dr, Suite 200, Hattiesburg, MS 39401-8246 | 2006-07-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821585241 | Jazzma Trice | Orthopaedic Surgery | 4381 S Eason Blvd Ste 303, Tupelo, MS 38801-6584 | 2018-04-20 |
| 1629596804 | Ortho Express Holding Company, LLC | Orthopaedic Surgery | 173a Whaley Dr, Ste B, Holly Springs, MS 38635 | 2017-09-07 |
| 1720506264 | Ortho Express Holding Company, LLC | Orthopaedic Surgery | 3952c N Gloster St, Tupelo, MS 38804-0913 | 2017-09-05 |
| 1477789964 | Letonoff Orthopaedics & Sports | Orthopaedic Surgery | 452 Court House Road, Suite G, Gulfport, MS 39507 | 2009-06-10 |
| 1063624948 | Richard D. Rainey | Orthopaedic Surgery | 1211 South Gloster, Suite A, Tupelo, MS 38801 | 2007-05-04 |
| 1053530246 | Orthoone Sports Medicine & Orthopaedics, Pllc | Orthopaedic Surgery | 9085 E Sandidge Cv, Suite 200, Olive Branch, MS 38654-3575 | 2007-04-25 |
| 1144209727 | Martin M Pomphrey Jr. | Orthopaedic Surgery | 307 Hospital Rd, Starkville, MS 39759-2155 | 2006-01-12 |
| 1497396931 | Ortho Express Holding Company, LLC | Orthopaedic Surgery | 125 Goodman Rd W Ste D, Southaven, MS 38671-9481 | 2019-10-07 |
| 1710545439 | Ortho Express Holding Company, LLC | Orthopaedic Surgery | 101 Wilburn Way, Starkville, MS 39759-3693 | 2019-05-29 |
| 1407263056 | Marie Joyce Barron | Orthopaedic Surgery | 7545 Airways Blvd, Southaven, MS 38671-5806 | 2014-07-15 |
| Find all providers with the same taxonomy | ||||
| City | HATTIESBURG |
| Zip Code | 39406 |
Please comment or provide details below to improve the information on THE UNIVERSITY OF SOUTHERN MISSISSIPPI.
| 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.