SOUTH MISSISSIPPI NEPHROLOGY (NPI# 1811171648) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811171648 |
| Entity Type | Organization |
| Organization Name | SOUTH MISSISSIPPI NEPHROLOGY |
| Practice Address |
4405 E Aloha Dr Ste I Diamondhead MS 39525-3380 |
| Mailing Address |
4300b W Railroad St Gulfport MS 39501 |
| Practice Telephone | 2288637393 |
| Practice Fax Number | 2288640546 |
| Mailing Telephone | 2288637393 |
| Mailing Fax Number | 2288640546 |
| Enumeration Date | 2007-12-28 |
| Last Update Date | 2007-12-28 |
| Authorized Official Name | DR. DOUGLAS C LANIER JR. (MANAGING MEMBER) |
| Authorized Official Telephone | 2288637393 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
Allopathic & Osteopathic Physicians |
| Street Address |
4405 E ALOHA DR STE I |
| City | DIAMONDHEAD |
| State | MS |
| Zip Code | 39525-3380 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447762042 | South Mississippi Home Care, LLC | Home Health | 56128 Diamondhead Dr E, Diamondhead, MS 39525 | 2017-11-04 |
| 1093247553 | Deedy Killen | Registered Nurse | 124a Lakeside Villa Bldg C, Diamondhead, MS 39525 | 2017-04-03 |
| 1730502055 | Hancock Medical Health Services | Clinic/Center | 5435 Gex Road, Diamondhead, MS 39525 | 2014-01-22 |
| 1760756423 | Catherine Michelle Brashear | Nurse Practitioner | 4045b Shepards Square, Diamondhead, MS 39525 | 2012-02-28 |
| 1669745303 | Christopher Byron Arcement | Nurse Practitioner | 5435 Gex Rd., Diamondhead, MS 39525 | 2012-02-10 |
| 1184894354 | Gary S. Porter | Nurse Practitioner | 4540 B Shepherds Squard, Diamondhead, MS 39525 | 2008-03-04 |
| 1003007006 | Hancock Medical Center | Clinic/Center | 4540 Shepherd Square, Suite B, Diamondhead, MS 39525 | 2007-08-05 |
| 1346461423 | Charles Eugene Harris | Psychologist | 5427-a Gex Rd, Diamondhead, MS 39525 | 2007-05-02 |
| 1548318025 | Total Rehab Plus LLC | Physical Therapist | 4363 C Leisuretime Dr, Diamondhead, MS 39525 | 2007-01-08 |
| 1356445944 | Cornelia H. Swayze | Social Worker | 4387 Leisure Time Drive, Diamondhead, MS 39525 | 2006-09-12 |
| Find all providers in zip 39525 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275848889 | Memorial Hospital At Gulfport | Internal Medicine | 4405 E Aloha Dr, Suite 1, Diamondhead, MS 39525-3380 | 2010-08-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942813506 | Uma Mahesh Reddy Avula | Internal Medicine | 2500 N State St Rm L-504, Jackson, MS 39216-4500 | 2020-08-24 |
| 1992276851 | Delta Kidney Alliance LLC | Internal Medicine | 1997 N Medical Park Dr, Greenville, MS 38703-7268 | 2018-12-17 |
| 1649555467 | Cardiac Renal & Vascular Associates PC | Internal Medicine | 5240 Robinson Road Ext, Jackson, MS 39204-4276 | 2011-10-12 |
| 1649585258 | Memorial Hospital At Gulfport | Internal Medicine | 784 Vieux Marche Mall, Biloxi, MS 39530-3822 | 2010-08-09 |
| 1184857534 | Angela Riley, Md, PC | Internal Medicine | 2170 South Lamar Blvd, Oxford, MS 38655 | 2009-09-02 |
| 1275766396 | Samir Gautam | Internal Medicine | 150 Jefferson Davis Blvd Ste 100, Natchez, MS 39120-5120 | 2009-08-24 |
| 1629234463 | Biju Marath | Internal Medicine | 4300 W Railroad St, Suite B, Gulfport, MS 39501 | 2008-07-31 |
| 1518149699 | Naseeruddin A Khan | Internal Medicine | 428 24th Ave N, Columbus, MS 39705-1945 | 2007-11-30 |
| 1053533406 | Richard Eric Miller | Internal Medicine | 513-c Brookman Dr, Brookhaven, MS 39601-2399 | 2007-05-03 |
| 1285857623 | South Mississippi Nephrology, Pllc | Internal Medicine | 784 Vieux Marche, Biloxi, MS 39530 | 2007-04-11 |
| Find all providers with the same taxonomy | ||||
| City | DIAMONDHEAD |
| Zip Code | 39525 |
Please comment or provide details below to improve the information on SOUTH MISSISSIPPI NEPHROLOGY.
| 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.