PACIFIC PHYSICIAN SERVICES, LLC (NPI# 1316968084) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316968084 |
| Entity Type | Organization |
| Organization Name | PACIFIC PHYSICIAN SERVICES, LLC |
| Practice Address |
200 Hospital Dr W Hattiesburg MS 39402-1346 |
| Mailing Address |
Po Box 689022 Franklin TN 37068-9022 |
| Practice Telephone | 6012963000 |
| Mailing Telephone | 6154657000 |
| Mailing Fax Number | 6154653007 |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2012-06-01 |
| Authorized Official Name | DEBBIE BREWER (DIRECTOR) |
| Authorized Official Telephone | 8778929813 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 00525592 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285653386 | Pacific Physician Services, LLC | General Practice | 101 Asbury Cirlce, Hattiesburg, MS 39402 | 2006-07-19 |
| 1326003856 | Pacific Physician Services, LLC | General Practice | 14 Orleans Dr, Hattiesburg, MS 39402-8674 | 2006-04-18 |
| 1861454449 | Pacific Physician Services, LLC | Internal Medicine | 500 Portage Lakes Dr, Ste. B, Akron, OH 44319-2299 | 2006-04-06 |
| 1790706463 | Pacific Physician Services, LLC | General Practice | 39 Franklin Rd, Suite 220, Hattiesburg, MS 39402-1588 | 2006-07-21 |
| 1386607216 | Pacific Physician Services, LLC | Family Medicine | 8803 S 101st East Ave, Ste. 145, Tulsa, OK 74133-5726 | 2006-04-11 |
| Street Address |
200 HOSPITAL DR W |
| City | HATTIESBURG |
| State | MS |
| Zip Code | 39402-1346 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114982485 | Gardner Fletcher | Internal Medicine | 200 Hospital Dr W, Hattiesburg, MS 39402-1346 | 2006-04-19 |
| 1689055089 | Kristen Ingram | Nurse Practitioner | 200 Hospital Dr W, Hattiesburg, MS 39402-1346 | 2015-06-11 |
| 1558593764 | Heartcare of Southern Mississippi | Internal Medicine | 200 Hospital Dr W, Hattiesburg, MS 39402-1346 | 2009-08-20 |
| 1033395298 | Administrators of The Tulane Educational Fund | Specialist | 200 Hospital Dr W, Hattiesburg, MS 39402-1346 | 2008-01-17 |
| 1710057377 | Michael W Lowry | Neurological Surgery | 200 Hospital Dr W, Hattiesburg, MS 39402-1346 | 2006-11-09 |
| 1770548950 | Jerry Donald Hyer Jr. | Internal Medicine | 200 Hospital Dr W, Hattiesburg, MS 39402-1346 | 2006-04-19 |
| 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 | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235601907 | William Carey University | General Practice | 710 William Carey Pkwy, Hattiesburg, MS 39401-7842 | 2018-12-19 |
| 1962796789 | Ochsner Clinic LLC | General Practice | #4 Willow Pointe, Suite 1, Hattiesburg, MS 39402 | 2011-06-09 |
| 1285653386 | Pacific Physician Services, LLC | General Practice | 101 Asbury Cirlce, Hattiesburg, MS 39402 | 2006-07-19 |
| 1326003856 | Pacific Physician Services, LLC | General Practice | 14 Orleans Dr, Hattiesburg, MS 39402-8674 | 2006-04-18 |
| 1144724105 | Jacob Mcclendon | General Practice | 5001 Hardy St, Hattiesburg, MS 39402-1308 | 2018-03-22 |
| 1326565763 | Crystal Parker Mcnabb | General Practice | 415 S 28th Ave, Hattiesburg, MS 39401-7246 | 2017-08-25 |
| 1336384742 | Pioneer Health Care, LLC | General Practice | 9 Willow Bend Dr, Hattiesburg, MS 39402-8552 | 2008-12-14 |
| 1134379175 | Robert E Bailey | General Practice | 222 S 27th Ave, Minor Care Clinic, Hattiesburg, MS 39401-7165 | 2008-09-26 |
| 1982740718 | Bennett E Smith Jr. | General Practice | 118 College Dr, 5066, Hattiesburg, MS 39406 | 2007-01-29 |
| 1790706463 | Pacific Physician Services, LLC | General Practice | 39 Franklin Rd, Suite 220, Hattiesburg, MS 39402-1588 | 2006-07-21 |
| Find all providers in HATTIESBURG | ||||
| City | HATTIESBURG |
| Zip Code | 39402 |
Please comment or provide details below to improve the information on PACIFIC PHYSICIAN SERVICES, LLC.
| 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.