NPIMap

Organization Active NPI

Hancock Medical Health Services, Inc.

Doing business as Hancock Medical Health Services - HCSD

  • Nurse Practitioner
  • Kiln, MS
National Provider Identifier
1003167529
Registry record updated Dec 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
11-214 Issued in MS
Legal business name
HANCOCK MEDICAL HEALTH SERVICES, INC.
Doing business as
Hancock Medical Health Services - HCSD
Practice address
6122 Cuevas Town Road
Kiln, MS 39556
Phone
(228) 255-7896
Fax
(228) 255-5249
NPI assigned
Sep 24, 2012
Last updated
Dec 10, 2013By the provider in NPPES
Organization subpart
Yes
Parent organization
HANCOCK MEDICAL CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 10, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Guy Ken Smith, MBA
Title
Director Operations
Phone
(985) 898-7091

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 11-214 MS Primary

Addresses

Primary practice location

6122 Cuevas Town Road
Kiln, MS 39556

Mailing address

149 Drinkwater Blvd.
Bay St Louis, MS 39520
Phone (228) 467-8676

Other names 1

  • Hancock Medical Health Services - HCSD Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Hancock Medical Health Services - HCSD13 organizations share this tax ID, including this one
Part of
Hancock Medical Center

Other organizations with this tax ID 12

Organizations that report the same tax identification number in the National Provider Directory.

Locations

6122 Cuevas Town Rd
Kiln, MS 39556
Phone (228) 255-7896

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1348444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386633600000",
    "number": "1003167529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "149 DRINKWATER BLVD.",
            "city": "BAY ST LOUIS",
            "state": "MS",
            "postal_code": "39520",
            "telephone_number": "228-467-8676",
            "fax_number": "228-467-5597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6122 CUEVAS TOWN ROAD",
            "city": "KILN",
            "state": "MS",
            "postal_code": "39556",
            "telephone_number": "228-255-7896",
            "fax_number": "228-255-5249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HANCOCK MEDICAL HEALTH SERVICES, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HANCOCK MEDICAL CENTER",
        "enumeration_date": "2012-09-24",
        "last_updated": "2013-12-10",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "GUY",
        "authorized_official_middle_name": "KEN",
        "authorized_official_title_or_position": "DIRECTOR OPERATIONS",
        "authorized_official_telephone_number": "985-898-7091",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MS",
            "license": "11-214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hancock Medical Health Services - HCSD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kiln, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.