HANCOCK MEDICAL HEALTH SERVICES, INC. (NPI# 1346559689) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346559689 |
| Entity Type | Organization |
| Organization Name | HANCOCK MEDICAL HEALTH SERVICES, INC. |
| Other Organization Name | HANCOCK MEDICAL WALK-IN CARE |
| Practice Address |
17000 Kapalama Rd Pass Christian MS 39571-9761 |
| Mailing Address |
149 Drinkwater Blvd. Bay St Louis MS 39521-2790 |
| Practice Telephone | 2283951200 |
| Practice Fax Number | 2283951201 |
| Mailing Telephone | 2284678700 |
| Mailing Fax Number | 2284678799 |
| Enumeration Date | 2010-10-05 |
| Last Update Date | 2014-04-30 |
| Authorized Official Name | MR. GUY KEN SMITH (DIRECTOR OPERATIONS) |
| Authorized Official Telephone | 9858987091 |
| Authorized Official Credential | MBA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
MS | Physician Assistants & Advanced Practice Nursing Providers | |
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
MS | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Hancock Medical Walk-In Care | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740623990 | Hancock Medical Health Services, Inc. | Specialist | 4540b Shepherd Sq, Diamondhead, MS 39525-3325 | 2013-04-08 |
| 1437400959 | Hancock Medical Health Services, Inc. | Nurse Practitioner | 600 Pine St., Bay St Louis, MS 39520 | 2012-09-24 |
| 1245581768 | Hancock Medical Health Services, Inc. | Nurse Practitioner | 602 Pine St., Bay St Louis, MS 39520 | 2012-09-24 |
| 1124379631 | Hancock Medical Health Services, Inc. | Nurse Practitioner | 23350 Highway 43, Picayune, MS 39466 | 2012-09-24 |
| 1912258427 | Hancock Medical Health Services, Inc. | Nurse Practitioner | 6590 Lakeshore Road, Bay St Louis, MS 39520 | 2012-09-24 |
| 1003167529 | Hancock Medical Health Services, Inc. | Nurse Practitioner | 6122 Cuevas Town Road, Kiln, MS 39556 | 2012-09-24 |
| 1548511066 | Hancock Medical Health Services, Inc. | Nurse Practitioner | 7070 Stennis Airport Dr., Kiln, MS 39556 | 2012-09-24 |
| 1356692875 | Hancock Medical Health Services, Inc. | Nurse Practitioner | 7084 Stennis Airport Dr., Kiln, MS 39556 | 2012-09-24 |
| 1538478870 | Hancock Medical Health Services, Inc. | Clinic/Center | 100 Hancock Square Dr, Bay St Louis, MS 39520-1632 | 2010-10-05 |
| 1700195047 | Hancock Medical Health Services, Inc. | Nurse Practitioner | 517 W North St Ste C&d, Pass Christian, MS 39571-2605 | 2010-10-05 |
| Street Address |
17000 KAPALAMA RD |
| City | PASS CHRISTIAN |
| State | MS |
| Zip Code | 39571-9761 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629380142 | Hancock Medical Center | Nurse Practitioner | 517 C & D, W North Street, Pass Christian, MS 39571 | 2010-07-13 |
| 1184652737 | Sports Medicine Ltd | Physical Therapist | 17000 Kapalama Rd., Suite B., Pass Christian, MS 39571 | 2006-06-30 |
| 1306877501 | Mark Schmidt | Physical Therapist | 17000 Kapalama Rd., Suite, Pass Christian, MS 39571 | 2006-07-05 |
| 1013945666 | Chad M Newell | Physical Therapist | 17000 Kapalama Rd., Suite B, Pass Christian, MS 39571 | 2006-06-30 |
| 1407308638 | Colorful Minds, LLC | Behavioral Analyst | 102 Kelley Cv, Pass Christian, MS 39571-2226 | 2016-11-04 |
| 1952534976 | Jeanne Hannah Oliver | Speech-Language Pathologist | 614 Royal Oak Dr, Pass Christian, MS 39571-2228 | 2009-08-25 |
| 1700195047 | Hancock Medical Health Services, Inc. | Nurse Practitioner | 517 W North St Ste C&d, Pass Christian, MS 39571-2605 | 2010-10-05 |
| 1326376286 | Ina Rene Duplessis | Community Health Worker | 1583 E Second St, Pass Christian, MS 39571-3125 | 2009-12-03 |
| 1821654807 | Kristi Mong | Psychologist | 24505 Mare Point Dr, Pass Christian, MS 39571-3302 | 2019-05-14 |
| 1629601927 | Mind Works Therapy Pllc | Psychologist | 24505 Mare Point Dr, Pass Christian, MS 39571-3302 | 2020-02-15 |
| Find all providers in zip 39571 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
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| 1487201372 | Caleb Mountain Climbing Wholistic International Center LLC | Clinic/Center | 610 Adeline St Ste 1a, Hattiesburg, MS 39401-3875 | 2019-08-24 |
| 1700440369 | Gentle Hands Healthcare LLC | Clinic/Center | 135 Oak Meadow Dr, Clinton, MS 39056-6044 | 2019-04-29 |
| 1629530795 | A Port In The Storm (apits) | Clinic/Center | 102 N. Cass Street, Suite B, Corinth, MS 38834 | 2019-04-05 |
| 1730502055 | Hancock Medical Health Services | Clinic/Center | 5435 Gex Road, Diamondhead, MS 39525 | 2014-01-22 |
| 1538478870 | Hancock Medical Health Services, Inc. | Clinic/Center | 100 Hancock Square Dr, Bay St Louis, MS 39520-1632 | 2010-10-05 |
| 1629287719 | Singing River Health System | Clinic/Center | 7001 Highway 614, Moss Point, MS 39562 | 2007-05-22 |
| 1164422580 | Mississippi University for Women | Clinic/Center | 620 10th St South, Cromwell Bldg Room 129, Columbus, MS 39701 | 2005-07-28 |
| 1578129177 | Madison Hma LLC | Clinic/Center | 161 River Oaks Dr, Canton, MS 39046-5375 | 2019-05-20 |
| 1902361660 | Sog Physical Therapy | Clinic/Center | 1211 S Gloster St Ste C, Tupelo, MS 38801-6535 | 2019-02-07 |
| 1558897744 | Asa LLC | Clinic/Center | 1924 30th Ave, Gulfport, MS 39501-4534 | 2017-05-07 |
| Find all providers with the same taxonomy | ||||
| City | PASS CHRISTIAN |
| Zip Code | 39571 |
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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.