HATTIESBURG CLINIC PA (NPI# 1831251925) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1831251925 |
Entity Type | Organization |
Organization Name | HATTIESBURG CLINIC PA |
Other Organization Name | THE CENTER FOR SLEEP MEDICINE |
Practice Address |
101 Courtenay Cir Hattiesburg MS 39402-3153 |
Mailing Address |
415 S 28th Ave Hattiesburg MS 39401-7246 |
Practice Telephone | 6015795180 |
Practice Fax Number | 6012685851 |
Mailing Telephone | 6015795463 |
Mailing Fax Number | 6015795240 |
Enumeration Date | 2006-12-14 |
Last Update Date | 2015-03-31 |
Authorized Official Name | TOMMY G THORNTON (EXECUTIVE DIRECTOR) |
Authorized Official Telephone | 6012685601 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QS1200X |
Clinic/Center Specialization: Sleep Disorder Diagnostic |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
The Center for Sleep Medicine | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649332735 | Hattiesburg Clinic Pa | Psychologist | 2 Southern Point Pkwy Ste 201, Hattiesburg, MS 39401-8025 | 2006-12-14 |
1033270921 | Hattiesburg Clinic Pa | Internal Medicine | 940 Matthew Dr, Waynesboro, MS 39367-2522 | 2006-12-13 |
1184785065 | Hattiesburg Clinic Pa | Ophthalmology | 6414 Highway 98 West, Suite 80, Hattiesburg, MS 39402 | 2006-12-13 |
1417046574 | Hattiesburg Clinic Pa | Family Medicine | 2013 North Pine, Heidelberg, MS 39439 | 2006-10-12 |
1962599282 | Hattiesburg Clinic Pa | Physical Therapist | 206 Corinth Rd, Petal, MS 39465-2883 | 2006-10-06 |
1972690287 | Hattiesburg Clinic Pa | Ophthalmology | 321 S 11th Ave, Laurel, MS 39440-4316 | 2006-10-06 |
1114014479 | Hattiesburg Clinic Pa | Dermatology | 6 Medical Blvd, Hattiesburg, MS 39401-7230 | 2006-10-06 |
1104910322 | Hattiesburg Clinic Pa | Family Medicine | 300 Pine St, Taylorsville, MS 39168-5432 | 2006-10-03 |
1730272931 | Hattiesburg Clinic Pa | Family Medicine | 801 Main Ave S, Magee, MS 39111-4102 | 2006-10-02 |
1720188030 | Hattiesburg Clinic Pa | Family Medicine | 7148 Us Highway 98, Suite101, Hattiesburg, MS 39402-8446 | 2006-09-25 |
Street Address |
101 COURTENAY CIR |
City | HATTIESBURG |
State | MS |
Zip Code | 39402-3153 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275934580 | Gilbert Lynn Luckel Jr. | Nurse Practitioner | 101 Courtenay Cir, Hattiesburg, MS 39402-3176 | 2014-09-06 |
1164559639 | John Richard Harsh | Psychologist | 101 Courtenay Cir, Hattiesburg, MS 39402-3153 | 2007-02-28 |
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 | 261QS1200X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Sleep Disorder Diagnostic |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932338472 | Alpha Sleep, LLC | Clinic/Center | 111 Lamar Ave, Hattiesburg, MS 39402 | 2009-07-06 |
1801078951 | Sweet Magnolia Moon, A Sleep Center, LLC | Clinic/Center | 6026 U S Highway 98, Suite 3, Hattiesburg, MS 39402-8861 | 2007-11-30 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578062725 | Gulf Coast Sleep Medicine LLC | Clinic/Center | 2112 Bienville Blvd., Suite P, Ocean Springs, MS 39564 | 2018-02-02 |
1700316288 | The Sleep Lab, LLC | Clinic/Center | 162 Houston Acres, Florence, MS 39073-9708 | 2017-06-15 |
1083965305 | American Sleep Associates, Inc | Clinic/Center | 601 Renaissance Way, Ste. B, Ridgeland, MS 39157-6038 | 2012-09-26 |
1114291341 | Sleep Management Systems, LLC | Clinic/Center | 670 Highway 178 W Ste 5, Sherman, MS 38869-7000 | 2012-03-06 |
1922142215 | Covenant Sleep Clinic of Oxford, LLC | Clinic/Center | 2908 South Lamar Blvd, Suite 200, Oxford, MS 38655 | 2007-02-19 |
1104831809 | Indianola Sleep Clinic, LLC | Clinic/Center | 103 W Jackson St, Belzoni, MS 39038-3500 | 2006-07-30 |
1669413381 | Sleep Study Clinics of West Tennessee LLC | Clinic/Center | 7420 Guthrie Dr N, Ste 101, Southaven, MS 38671-5876 | 2006-06-10 |
1659318574 | Sleep Diagnostics, LLC | Clinic/Center | 7600 Airways Blvd, Ste G, Southaven, MS 38671 | 2006-05-31 |
1124079215 | Coastal Sleep Solutions | Clinic/Center | 971 Tommy Munro Drive, Unit D, Biloxi, MS 39532 | 2006-05-13 |
1184255077 | Thomas Geoffrey Eade | Clinic/Center | 511 Brookman Dr, Brookhaven, MS 39601-2326 | 2020-01-29 |
Find all providers with the same taxonomy |
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.