HANCOCK MEDICAL CENTER (NPI# 1356672166) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356672166 |
| Entity Type | Organization |
| Organization Name | HANCOCK MEDICAL CENTER |
| Other Organization Name | HANCOCK MEDICAL WALK-IN CARE |
| Practice Address |
17000 Kapalama Dr Pass Christian MS 39571-9761 |
| Mailing Address |
Po Box 2790 Bay St Louis MS 39521-2790 |
| Practice Telephone | 2284678700 |
| Practice Fax Number | 2284678799 |
| Mailing Telephone | 2284678700 |
| Mailing Fax Number | 2284678799 |
| Enumeration Date | 2010-01-18 |
| Last Update Date | 2010-03-16 |
| Authorized Official Name | MR. DONALD L WADE (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 2284678700 |
| Authorized Official Credential | CPA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 11217 | MS | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Hancock Medical Walk-In Care | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629380142 | Hancock Medical Center | Nurse Practitioner | 517 C & D, W North Street, Pass Christian, MS 39571 | 2010-07-13 |
| 1003007006 | Hancock Medical Center | Clinic/Center | 4540 Shepherd Square, Suite B, Diamondhead, MS 39525 | 2007-08-05 |
| 1134326259 | Hancock Medical Center | Clinic/Center | 16230 Highway 603, Kiln, MS 39566-6230 | 2007-07-02 |
| 1972827004 | Hancock Medical Center | Nurse Practitioner | 149 Drinkwater Blvd, Bay St Louis, MS 39520-1658 | 2010-03-18 |
| 1407182454 | Hancock Medical Center | Pathology | 149 Drinkwater Blvd, Bay St Louis, MS 39520-1658 | 2009-10-27 |
| 1730312182 | Hancock Medical Center | Hospitalist | 149 Drinkwater Blvd, Bay Saint Louis, MS 39520-1658 | 2009-09-02 |
| 1801023692 | Hancock Medical Center | Surgery | 952 Green Meadow Rd, Bay St Louis, MS 39520-1620 | 2009-06-18 |
| 1134305352 | Hancock Medical Center | Orthopaedic Surgery | 4540 Shepherd Square, Suite C, Diamondhead, MS 39525 | 2008-01-17 |
| 1982801072 | Hancock Medical Center | Anesthesiology | 149 Drinkwater Blvd, Bay Saint Louis, MS 39520-1658 | 2007-07-02 |
| 1326245432 | Hancock Medical Center | Anesthesiology | 149 Drinkwater Blvd, Bay Saint Louis, MS 39520-1658 | 2007-07-02 |
| Street Address |
17000 KAPALAMA DR |
| 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 | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952900581 | Maegan Cook Bridges | Family Medicine | 312 Ridge Pointe Dr, Brandon, MS 39042-5035 | 2020-10-24 |
| 1003415266 | Christian Fortenberry | Family Medicine | 786 Lake Harbour Dr, Ridgeland, MS 39157-4303 | 2020-10-20 |
| 1457967226 | Tiffine Lynn Prisock | Family Medicine | 24978 Ms-15, Mathiston, MS 39752 | 2020-09-17 |
| 1851902860 | Jasmine Lester | Family Medicine | 538 Getwell Rd S, Hernando, MS 38632-9585 | 2020-08-12 |
| 1942810569 | Ericka Marcene Williams | Family Medicine | 1031 Northridge Rd Ste A, Baldwyn, MS 38824-1173 | 2020-08-07 |
| 1316557986 | Independent Healthcare Management, Inc | Family Medicine | 376 Simpson Highway 149 Ste 600, Magee, MS 39111-3572 | 2020-08-07 |
| 1164031373 | Rohith Reddy Guduru Venkata | Family Medicine | Delta Regional Medical Center, 1400 E Union St, Greenville, MS 38703 | 2020-07-24 |
| 1831707470 | Rebecca Holmes | Family Medicine | 42 Atley Holmes Rd # Rs, Jayess, MS 39641-8272 | 2020-07-20 |
| 1497373344 | Dhruval Patel | Family Medicine | 564 Cypress Ln Apt 11d, Greenville, MS 38701-7415 | 2020-07-08 |
| 1881211258 | Tiffany Chapman | Family Medicine | 905 S Frontage Rd, Meridian, MS 39301-6113 | 2020-07-01 |
| 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.