SOUTHWEST MISSISSIPPI REGIONAL MEDICAL CENTER (NPI# 1649386061) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649386061 |
| Entity Type | Organization |
| Organization Name | SOUTHWEST MISSISSIPPI REGIONAL MEDICAL CENTER |
| Other Organization Name | SOUTHWEST UROLOGY CLINIC |
| Practice Address |
1015 Delaware Ave Ste B Mccomb MS 39648-3827 |
| Mailing Address |
Po Box 490 Mccomb MS 39649-0490 |
| Practice Telephone | 6012504275 |
| Practice Fax Number | 6012490957 |
| Mailing Telephone | 6012492701 |
| Mailing Fax Number | 6012492195 |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2015-08-25 |
| Authorized Official Name | MR. AARON PRICE (DIRECTOR OF CLINICAL OPERATIONS) |
| Authorized Official Telephone | 6012504268 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 06171732 | 05 |
| Other Name | Type Code |
|---|---|
| SOUTHWEST UROLOGY CLINIC | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700344066 | Southwest Mississippi Regional Medical Center | Surgery | 1065 E Broad St., Monticello, MS 39654 | 2019-03-06 |
| 1013107473 | Southwest Mississippi Regional Medical Center | Orthopaedic Surgery | 510a Highway 51 N, Brookhaven, MS 39601-2335 | 2007-07-31 |
| 1932159498 | Southwest Mississippi Regional Medical Center | Internal Medicine | 300 Rawls Dr Ste 200, Mccomb, MS 39648-2871 | 2006-05-12 |
| 1861442873 | Southwest Mississippi Regional Medical Center | Clinic/Center | 28 Bogue Chitto Rd Sw, Bogue Chitto, MS 39629-9488 | 2006-05-11 |
| 1689624090 | Southwest Mississippi Regional Medical Center | Internal Medicine | 300 Marion Ave, Suite C, Mccomb, MS 39648-2707 | 2006-05-10 |
| 1245289172 | Southwest Mississippi Regional Medical Center | Clinic/Center | 1167 E Broad St, Monticello, MS 39654-7682 | 2006-05-08 |
| 1366066060 | Southwest Mississippi Regional Medical Center | Clinic/Center | 300 Rawls Dr Ste 1500, Mccomb, MS 39648-2878 | 2020-05-29 |
| 1932721222 | Southwest Mississippi Regional Medical Center | Internal Medicine | 1065 E Broad St, Monticello, MS 39654-7703 | 2020-05-11 |
| 1144873910 | Southwest Mississippi Regional Medical Center | Obstetrics & Gynecology | 1318 Harrison Ave, Mccomb, MS 39648-2830 | 2019-07-22 |
| 1982174488 | Southwest Mississippi Regional Medical Center | Obstetrics & Gynecology | 1015 Delaware Ave Ste B, Mccomb, MS 39648-3827 | 2018-11-28 |
| Street Address |
1015 DELAWARE AVE STE B |
| City | MCCOMB |
| State | MS |
| Zip Code | 39648-3827 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982174488 | Southwest Mississippi Regional Medical Center | Obstetrics & Gynecology | 1015 Delaware Ave Ste B, Mccomb, MS 39648-3827 | 2018-11-28 |
| 1245340587 | James A Nobles | Specialist | 1015 Delaware Ave Ste B, Mccomb, MS 39648-3827 | 2006-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952910366 | Ct Stamps Inc | Pharmacy | 206 Marion Avenue, Mccomb, MS 39648 | 2020-07-31 |
| 1952910457 | Fresenius Medical Care East Mccomb Dialysis, LLC | Clinic/Center | 103 Business Center Drive, Mccomb, MS 39648 | 2020-07-30 |
| 1902423312 | Joseph Edward Mingo II | Counselor | 513 Lee St, Mccomb, MS 39648 | 2020-07-01 |
| 1427608769 | Benda Truvillion | Technician | 2128 Park Dr. Ext., Mccomb, MS 39648 | 2019-09-18 |
| 1295228187 | Edna Ruth Winston | Counselor | Sw Ms Mental Health Complex, 1701 White St, Mccomb, MS 39648 | 2018-06-14 |
| 1386153450 | Sholitha Nunnery | Counselor | 502 North Cherry Street, Mccomb, MS 39648 | 2017-09-21 |
| 1548600612 | Jordan Harrington | Nurse Practitioner | 303 Marion Ave., Mccomb, MS 39648 | 2013-07-03 |
| 1891096236 | Zwound Care | Family Medicine | 1126 Country Club Road, Mccomb, MS 39648 | 2010-11-16 |
| 1588891717 | Kelly Edmondson | Physical Therapy Assistant | 1301a Harrison Ave, Mccomb, MS 39648 | 2009-06-15 |
| 1962647651 | Gwendolyn Michelle Brown | Home Health Aide | 1114 1/2 Venable St., Mccomb, MS 39648 | 2008-12-09 |
| Find all providers in zip 39648 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023678000 | The Urology Clinic, LLC | Urology | 14231 Seaway Rd Ste 6000, Gulfport, MS 39503-4628 | 2019-06-20 |
| 1881006807 | Roy Donald Duncan | Urology | 300 Forrest Hill Cir, Aberdeen, MS 39730-2147 | 2014-05-26 |
| 1396184149 | Robert Joseph Hargis | Urology | 116 Afton Way, Clinton, MS 39056 | 2013-06-14 |
| 1619290400 | Woodie Lynn Mason | Urology | 115 Wildwood Dr, Madison, MS 39110-7045 | 2010-03-08 |
| 1639305592 | William Meredith Brodford | Urology | 3916 Pinewood, Dr., Jackson, MS 39211-6444 | 2009-06-05 |
| 1669672143 | Laurel Urology Clinic Pa | Urology | 304 S 10th Ave, Laurel, MS 39440 | 2007-07-23 |
| 1932233392 | Jens Francis Graversen | Urology | 1002 Jefferson St., Suite 450, Laurel, MS 39440-4306 | 2007-03-15 |
| 1073682035 | Doyle Land Renfroe | Urology | 1201 Medical Park Dr, Oxford, MS 38655-5327 | 2006-11-06 |
| 1629159587 | Urological Surgery Associates Pllc | Urology | 294 E Layfair Dr, Flowood, MS 39232-9526 | 2006-10-18 |
| 1013098995 | Avinash C Gulanikar | Urology | 294 East Layfair Dr, Flowood, MS 39232 | 2006-10-18 |
| 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.