REGENCY HOSPITAL OF SOUTHERN MISSISSIPPI, LLC (NPI# 1811342322) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811342322 |
| Entity Type | Organization |
| Organization Name | REGENCY HOSPITAL OF SOUTHERN MISSISSIPPI, LLC |
| Practice Address |
125 S 25th Ave Hattiesburg MS 39401-6031 |
| Mailing Address |
4714 Gettysburg Rd Legal Dept Mechanicsburg PA 17055-4325 |
| Practice Telephone | 7179721100 |
| Mailing Telephone | 7179721100 |
| Enumeration Date | 2016-05-03 |
| Last Update Date | 2016-05-03 |
| Authorized Official Name | MICHAEL TARVIN (VICE PRESIDENT) |
| Authorized Official Telephone | 7179721100 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208M00000X | Hospitalist | Allopathic & Osteopathic Physicians |
| Street Address |
125 S 25TH AVE |
| City | HATTIESBURG |
| State | MS |
| Zip Code | 39401-6031 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982606570 | Regency Hospital of Hattiesburg, LLC | Long Term Care Hospital | 125 S 25th Ave, Hattiesburg, MS 39401-6031 | 2005-08-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598315863 | Lisa Thornton | Technician | 18 Timberline Dr., Hattiesburg, MS 39401 | 2019-09-18 |
| 1548813637 | Caroline Estes Barnes | Counselor | Barnes, 8 App Slade Road, Hattiesburg, MS 39401 | 2019-07-18 |
| 1396252441 | Selection Healthcare Services, LLC | In Home Supportive Care | 606 Adeline St Ste 1c, Hattiesburg, MS 39401 | 2018-01-10 |
| 1225545585 | Whitney Wilkinson | Nurse Practitioner | 301 South 28th Avenue, Hattiesburg, MS 39401 | 2018-01-08 |
| 1740795806 | Forrest General Hospital | Pharmacy | 1414 South 28th Avenue, Hattiesburg, MS 39401 | 2017-12-11 |
| 1275058455 | Casey Payne | Pharmacist | 6130 Us 49, Hattiesburg, MS 39401 | 2017-08-08 |
| 1225562705 | Sarah Marie Hudson | Family Medicine | 6051 Us Highway 49 S, Hattiesburg, MS 39401 | 2017-04-12 |
| 1043671704 | The Covington's Cove Assisted Living Center LLC | Assisted Living Facility | 192 Mary Magdalene Church Rd, Hattiesburg, MS 39401 | 2016-03-09 |
| 1780083626 | Dominique Reed Watson | Pharmacist | 602 Adeline St, Hattiesburg, MS 39401 | 2014-08-15 |
| 1558778936 | Willie Davis Jr. | Day Training, Developmentally Disabled Services | 701 Duke Ave., Hattiesbiurg, MS 39401 | 2014-07-17 |
| Find all providers in zip 39401 | ||||
| Taxonomy Code | 208M00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Hospitalist |
| Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients. |
| Notes: Source: American Society of Hospital Medicine, 2007. http://www.hospitalmedicine.org/ [7/1/2009: definition aded] Additional Resources: Hospitalist is a recognized fellowship specialty program offered by many medical institutions. There is no board certification for the specialty at this point. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275997959 | Nedal Matani | Hospitalist | 415 S 28th Ave, Hattiesburg, MS 39401-7246 | 2016-04-08 |
| 1003299876 | Mohammad Iffat Kabir Anindo | Hospitalist | 415 S 28th Ave, Hattiesburg, MS 39401-7246 | 2015-06-29 |
| 1558743062 | Mahmud Samra | Hospitalist | 415 S 28th Ave, Hattiesburg, MS 39401 | 2015-06-19 |
| 1235511874 | Asma Bassam Khader | Hospitalist | 415 S 28th Ave, Hattiesburg, MS 39401 | 2015-06-19 |
| 1457731861 | Subodh Adhikari | Hospitalist | 415 S 28th Ave, Hattiesburg, MS 39401-7246 | 2015-06-02 |
| 1285014613 | Amrullah Alsatli | Hospitalist | 415 S 28th Ave, Hattiesburg, MS 39401 | 2015-06-01 |
| 1316346968 | Akram Dera | Hospitalist | 415 S 28th Ave, Hattiesburg, MS 39401 | 2014-08-20 |
| 1679980072 | Rami Jabbour | Hospitalist | 415 S 28th Ave, Hattiesburg, MS 39401-7246 | 2014-07-17 |
| 1811302128 | Khalid Jumean | Hospitalist | 415 S 28th Ave, Hattiesburg, MS 39401-7246 | 2014-06-25 |
| 1366861528 | Matthew David Oglesbee | Hospitalist | 415 S 28th Ave, Hattiesburg, MS 39401-7246 | 2014-04-15 |
| Find all providers in HATTIESBURG | ||||
| City | HATTIESBURG |
| Zip Code | 39401 |
Please comment or provide details below to improve the information on REGENCY HOSPITAL OF SOUTHERN MISSISSIPPI, LLC.
| 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.