SOUTH MISSISSIPPI NEPHROLOGY, PLLC (NPI# 1285857623) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285857623 |
| Entity Type | Organization |
| Organization Name | SOUTH MISSISSIPPI NEPHROLOGY, PLLC |
| Practice Address |
784 Vieux Marche Biloxi MS 39530 |
| Mailing Address |
4300b W Railroad St Gulfport MS 39501-2568 |
| Practice Telephone | 2283747525 |
| Practice Fax Number | 2288640546 |
| Mailing Telephone | 2288637393 |
| Mailing Fax Number | 2288640546 |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2007-07-11 |
| Authorized Official Name | DR. DOUGLAS C LANIER JR. (MANAGING MEMBER) |
| Authorized Official Telephone | 2288637393 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134168081 | South Mississippi Nephrology, Pllc | Internal Medicine | 4300b W Railroad St, Gulfport, MS 39501-2568 | 2006-06-06 |
| Street Address |
784 VIEUX MARCHE |
| City | BILOXI |
| State | MS |
| Zip Code | 39530 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588158125 | Gulf Coast Anesthesia Associates | Anesthesiology | 147 Reynoir St Ste 305, Biloxi, MS 39530 | 2018-06-18 |
| 1326486804 | Pavilion Personal Care LLC | In Home Supportive Care | 1450b Beach Blvd, Biloxi, MS 39530 | 2013-06-06 |
| 1366707713 | Makeva K Reed | Nurse Practitioner | 321 Division St, Biloxi, MS 39530 | 2012-07-11 |
| 1174833602 | Keith Edward Earley Jr. | Ophthalmology | 301 Fisher Ave, Keesler Afb, MS 39530 | 2010-10-18 |
| 1730406729 | Alexander H. Nguyen | Surgery | 4503 M St, Biloxi, MS 39530 | 2010-04-29 |
| 1881891265 | Tina Fleming Mcgrew | Nurse Practitioner | 321-b Divison Street, Biloxi, MS 39530 | 2007-06-29 |
| 1164573515 | Keith G Goodfellow | Obstetrics & Gynecology | 147 Reynoir St Ste 105, Biloxi, MS 39530 | 2007-01-14 |
| 1871640292 | Doreen Brock | Nurse Practitioner | 1046 Division Street, Biloxi, MS 39530 | 2007-01-05 |
| 1922069715 | Garvin Wallace Cunningham | Dentist | 683 Division St, Biloxi, MS 39530 | 2006-03-31 |
| 1306813126 | William E Malone | Optometrist | 683 Division Street, Biloxi, MS 39530 | 2006-03-01 |
| Find all providers in zip 39530 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| 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 |
|---|---|---|---|---|
| 1649585258 | Memorial Hospital At Gulfport | Internal Medicine | 784 Vieux Marche Mall, Biloxi, MS 39530-3822 | 2010-08-09 |
| 1629288089 | Wayne Arthur Latack | Internal Medicine | 301 Fisher St, Keesler Afb, Biloxi, MS 39534-2508 | 2007-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942813506 | Uma Mahesh Reddy Avula | Internal Medicine | 2500 N State St Rm L-504, Jackson, MS 39216-4500 | 2020-08-24 |
| 1992276851 | Delta Kidney Alliance LLC | Internal Medicine | 1997 N Medical Park Dr, Greenville, MS 38703-7268 | 2018-12-17 |
| 1649555467 | Cardiac Renal & Vascular Associates PC | Internal Medicine | 5240 Robinson Road Ext, Jackson, MS 39204-4276 | 2011-10-12 |
| 1275848889 | Memorial Hospital At Gulfport | Internal Medicine | 4405 E Aloha Dr, Suite 1, Diamondhead, MS 39525-3380 | 2010-08-09 |
| 1184857534 | Angela Riley, Md, PC | Internal Medicine | 2170 South Lamar Blvd, Oxford, MS 38655 | 2009-09-02 |
| 1275766396 | Samir Gautam | Internal Medicine | 150 Jefferson Davis Blvd Ste 100, Natchez, MS 39120-5120 | 2009-08-24 |
| 1629234463 | Biju Marath | Internal Medicine | 4300 W Railroad St, Suite B, Gulfport, MS 39501 | 2008-07-31 |
| 1811171648 | South Mississippi Nephrology | Internal Medicine | 4405 E Aloha Dr Ste I, Diamondhead, MS 39525-3380 | 2007-12-28 |
| 1518149699 | Naseeruddin A Khan | Internal Medicine | 428 24th Ave N, Columbus, MS 39705-1945 | 2007-11-30 |
| 1053533406 | Richard Eric Miller | Internal Medicine | 513-c Brookman Dr, Brookhaven, MS 39601-2399 | 2007-05-03 |
| Find all providers with the same taxonomy | ||||
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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.