NPIMap

Individual provider Active NPI

Eric D. Lawson, M.D.

  • Diagnostic Radiology Physician
  • Gulfport, MS
National Provider Identifier
1003817982
Registry record updated Nov 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
15905 Issued in MS
Practice address
14231 Seaway Rd Ste 5003
Gulfport, MS 39503-4660
Phone
(228) 864-4392
Fax
(228) 868-7103
NPI assigned
Aug 2, 2005
Last updated
Nov 3, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 15905 MS Primary

Addresses

Primary practice location

14231 Seaway Rd Ste 5003
Gulfport, MS 39503-4660

Mailing address

PO Box 1330
Gulfport, MS 39502-1330
Phone (228) 864-4392

Other practice location 1

4320 15th St
Suite a
Gulfport, MS 39501-2524
Phone (228) 864-4392

Other identifiers 1

IdentifierTypeStateIssuer
00119790MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060914000274 MS Practitioner - Diagnostic Radiology 5698779122 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Texas Medical School at San Antonio, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
SMB Radiology P aGroup PAC ID 9234136060, 22 clinicians

Practice addresses (Care Compare)

14231 Seaway Rd
Suite 5003
Gulfport, MS 39503-4660
Phone (228) 864-4392

150 Reynoir St
Biloxi, MS 39530-4130
Phone (228) 432-1571

4500 13TH St
Gulfport, MS 39501-2515
Phone (228) 867-4000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
15905MSMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
SMB Radiology P a Diagnostic Radiology CurrentSince May 5, 1999 Accepting new patients

Locations

14231 Seaway Rd
Ste 5003
Gulfport, MS 39503
Phone (228) 864-4392

15200 Community Rd
Gulfport, MS 39503
Phone (228) 575-7000

4320 15th St
#A
Gulfport, MS 39501
Phone (228) 864-4392

4500 13th St
Gulfport, MS 39501
Phone (228) 236-3872

Interoperability endpoints

  • Direct secure messaging: elawson@direct.mhg.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 60

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 60

NPI Registry JSON

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

{
    "created_epoch": "1122940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1509667200000",
    "number": "1003817982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1330",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395021330",
            "telephone_number": "228-864-4392",
            "fax_number": "228-868-7103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14231 SEAWAY RD STE 5003",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395034660",
            "telephone_number": "228-864-4392",
            "fax_number": "228-868-7103"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4320 15th St",
            "address_2": "SUITE A",
            "address_purpose": "LOCATION",
            "city": "Gulfport",
            "state": "MS",
            "postal_code": "395012524",
            "country_code": "US",
            "telephone_number": "228-864-4392",
            "fax_number": "228-868-7103",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAWSON",
        "first_name": "ERIC",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-02",
        "last_updated": "2017-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MS",
            "license": "15905",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00119790",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gulfport, MS

Sources for this page

Verify at the official NPI Registry.