Organization Active NPI

Planned Parenthood Southeast, Inc.

  • Nurse Practitioner
  • Hattiesburg, MS
National Provider Identifier
1013258524
Registry record updated Apr 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
PLANNED PARENTHOOD SOUTHEAST, INC.
Practice address
314 S 25TH Ave
Hattiesburg, MS 39401-7301
Phone
(601) 296-6001
NPI assigned
Mar 7, 2013
Last updated
Apr 6, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2023

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

Authorized official

Name
Ms. Samantha J Gaganis
Title
Director Revenue Cycle Management
Phone
(404) 567-8354

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363L00000X Primary

Addresses

Primary practice location

314 S 25TH Ave
Hattiesburg, MS 39401-7301

Mailing address

241 Peachtree St NE Ste 400
Atlanta, GA 30303-1423
Phone (404) 688-9305

National Provider Directory

National Provider Directory
Tax ID family
Planned Parenthood Southeast4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

220 Cobb Pkwy N
Marietta, GA 30062
Phone (770) 424-7125

214 S 27th Ave
Hattiesburg, MS 39401

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1362614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680739200000",
    "number": "1013258524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "241 PEACHTREE ST NE STE 400",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303031423",
            "telephone_number": "404-688-9305",
            "fax_number": "404-688-0621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 S 25TH AVE",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394017301",
            "telephone_number": "601-296-6001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLANNED PARENTHOOD SOUTHEAST, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-07",
        "last_updated": "2023-04-06",
        "certification_date": "2023-04-06",
        "status": "A",
        "authorized_official_last_name": "GAGANIS",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DIRECTOR REVENUE CYCLE MANAGEMENT",
        "authorized_official_telephone_number": "404-567-8354",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hattiesburg, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2023; 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.