SINGING RIVER GULFPORT (NPI# 1801414115) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801414115 |
| Entity Type | Organization |
| Organization Name | SINGING RIVER GULFPORT |
| Practice Address |
15200 Community Rd Gulfport MS 39503-3085 |
| Mailing Address |
2101 Highway 90 Gautier MS 39553-5340 |
| Practice Telephone | 2285757000 |
| Enumeration Date | 2020-07-13 |
| Last Update Date | 2020-07-13 |
| Authorized Official Name | CHARLIE BRINKLEY III (CFO) |
| Authorized Official Telephone | 2284977597 |
| Is Organization Subpart | Y |
| Parent Organization Name | SINGING RIVER HEALTH SYSTEM |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 273R00000X | Psychiatric Unit | Hospital Units |
| Other Name | Type Code |
|---|---|
| Singing River Gulfport Psychiatric Facility | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861010159 | Singing River Gulfport | Clinic/Center | 15190 Community Rd, Gulfport, MS 39503-3485 | 2020-07-13 |
| 1639797913 | Singing River Gulfport | General Acute Care Hospital | 15200 Community Rd, Gulfport, MS 39503-3085 | 2020-07-13 |
| Street Address |
15200 COMMUNITY RD |
| City | GULFPORT |
| State | MS |
| Zip Code | 39503-3085 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043288541 | Glen Michael Cavalier | Nurse Anesthetist, Certified Registered | 15200 Community Rd, Gulfport, MS 39503-3085 | 2006-03-09 |
| 1023629847 | Ariel Nicole Fore | Nurse Practitioner | 15200 Community Rd, Gulfport, MS 39503-3085 | 2020-08-14 |
| 1639797913 | Singing River Gulfport | General Acute Care Hospital | 15200 Community Rd, Gulfport, MS 39503-3085 | 2020-07-13 |
| 1972071611 | Jessica Irene Strunk | Nurse Practitioner | 15200 Community Rd, Gulfport, MS 39503-3085 | 2018-11-12 |
| 1326558388 | Jeremy Lynn Remillard | Nurse Practitioner | 15200 Community Rd, Gulfport, MS 39503-3085 | 2017-10-04 |
| 1285155614 | Truong Vu Nguyen | Nurse Practitioner | 15200 Community Rd, Gulfport, MS 39503-3085 | 2017-07-06 |
| 1083158307 | Wesley Armstrong | Physician Assistant | 15200 Community Rd, Gulfport, MS 39503-3085 | 2016-12-05 |
| 1649647256 | Jennifer Duncan | Nurse Practitioner | 15200 Community Rd, Gulfport, MS 39503-3085 | 2015-08-31 |
| 1497131791 | Keystone Hospitalist Services of Gulfport Inc | Hospitalist | 15200 Community Rd, Gulfport, MS 39503-3085 | 2015-08-10 |
| 1881070183 | Keystone Medical Services of Gulfport, Inc. | Emergency Medicine | 15200 Community Rd, Gulfport, MS 39503-3085 | 2015-08-10 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013515451 | Gulf Coast Neurospa, LLC | Psychiatry & Neurology | 8845 Lorraine Road, Gulfport, MS 39503 | 2020-10-16 |
| 1447865985 | Nicholas Wyrosdick | Physical Therapist | 12261 Us 49 #1, Gulfport, MS 39503 | 2020-09-11 |
| 1750935169 | Ladner Roy Drugs, LLC. | Pharmacy | 12261 Us 49 Suite 16, Gulfport, MS 39503 | 2019-07-25 |
| 1528559440 | Alexander Therapy Services, LLC | Clinic/Center | 15465 Oak Ln Ste 100c, Gulfport, MS 39503 | 2018-05-25 |
| 1750879003 | Heather Lynn Theisen | Nurse Practitioner | 15190 Community Rd Ste 330, Gulfport, MS 39503 | 2018-04-23 |
| 1083101216 | Gulf Coast Mental Health Center | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 15094 County Barn Road, Gulfport, MS 39503 | 2018-04-13 |
| 1306343173 | Dr. Raymond Monsour Scurfield, LLC | Community/Behavioral Health | 15465 Oak Lane Ste 100-g, Gulfport, MS 39503 | 2018-04-09 |
| 1952817157 | Mary Beth Welch | Behavioral Analyst | 9230 Old Lorraine Rd, Gulfport, MS 39503 | 2017-12-26 |
| 1831603257 | Beach View Family Dental, Pllc | Dentist | 9072 Lorraine Road, Gulfport, MS 39503 | 2017-11-21 |
| 1437677721 | Mary Stephens Ruffin | Social Worker | 11262 Creek Dr, Gulfport, MS 39503 | 2017-09-07 |
| Find all providers in zip 39503 | ||||
| Taxonomy Code | 273R00000X |
| Grouping | Hospital Units |
| Classification | Psychiatric Unit |
| In general, a distinct unit of a hospital that provides acute or long-term care to emotionally disturbed patients, including patients admitted for diagnosis and those admitted for treatment of psychiatric problems on the basis of physicians' orders and approved nursing care plans. Long-term care may include intensive supervision to the chronically mentally ill, mentally disordered or other mentally incompetent persons; (2) For Medicare, a distinct part of a general acute care hospital admitting only patients whose admission to the unit is required for active treatment, whose treatment is of an intensity that can be provided only in an inpatient hospital setting, and whose condition is described by a psychiatric principal diagnosis contained in the Third Edition of the American Psychiatric Association Diagnostic and Statistical Manual or in Chapter 5 (Mental Disorders) of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM). The unit must furnish, through the use of qualified personnel, psychological services, social work services, psychiatric nursing, occupational therapy, and recreational therapy. The unit must maintain medical records that permit determination of the degree and intensity of treatment provided to individuals who are furnished services in the unit; the unit must meet special staff requirements in that the unit must have adequate numbers of qualified professional and supportive staff to evaluate inpatients, formulate written, individualized, comprehensive treatment plans, provide active treatment measures and engage in discharge planning. |
| Notes: Source: (1) AHA Annual Survey p. A10 1996 AHA Guide; (2) Code of Federal Regulations #42, Section 412.27. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154450161 | Memorial Hospital At Gulfport | Psychiatric Unit | 4500 13th St, Gulfport, MS 39501-2515 | 2007-03-05 |
| 1407800485 | Gpch-gp, Inc. | Psychiatric Unit | 15200 Community Rd, Gulfport, MS 39503-3085 | 2006-05-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407269756 | East Mississippi State Hospital | Psychiatric Unit | 1401 College Dr, Meridian, MS 39307-5345 | 2014-06-04 |
| 1699803395 | Walter Robert Jones Jr. | Psychiatric Unit | Hwy 468, Hudspeth Regional Center, Whitfield, MS 39193 | 2007-03-02 |
| 1740228881 | Vicksburg Healthcare LLC | Psychiatric Unit | 1111 N Frontage Rd, Vicksburg, MS 39180-5102 | 2006-06-02 |
| 1306803481 | George County Hospital | Psychiatric Unit | 859 Winter Steet, Lucedale, MS 39452-6603 | 2006-05-01 |
| 1457330995 | South Mississippi State Hospital | Psychiatric Unit | 823 Highway 589, Purvis, MS 39475-4194 | 2006-01-12 |
| 1831184951 | Alliance Health Center Inc | Psychiatric Unit | 5000 Highway 39 N, Meridian, MS 39301-1021 | 2005-09-14 |
| 1679036313 | Progressive Medical Management of Batesville LLC | Psychiatric Unit | 155 Keating Rd, Batesville, MS 38606-2901 | 2019-04-10 |
| 1689191629 | Boa Vida Hospital of Aberdeen, Ms, LLC | Psychiatric Unit | 400 S Chestnut St, Aberdeen, MS 39730-3335 | 2017-08-29 |
| 1033643937 | Batesville Regional Medical Center, Inc. | Psychiatric Unit | 303 Medical Center Dr, Batesville, MS 38606-8608 | 2017-04-18 |
| 1801329834 | Lifebrite Hospital Group of Aberdeen LLC | Psychiatric Unit | 400 S Chestnut St, Aberdeen, MS 39730-3335 | 2017-04-06 |
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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.