Organization Active NPI

Dermatology Associates of South Ms PLLC

  • Dermatology Physician
  • Biloxi, MS
National Provider Identifier
1093731697
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
10957 Issued in MS
Legal business name
DERMATOLOGY ASSOCIATES OF SOUTH MS PLLC
Practice address
2550 Pass Road
Biloxi, MS 39531-2112
Phone
(228) 594-9904
Fax
(228) 594-9962
NPI assigned
Jul 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
Dr. John Hunter Phillips III, MD.
Title
Doctor
Phone
(228) 594-9904

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X 10957 MS Primary

Addresses

Primary practice location

2550 Pass Road
Biloxi, MS 39531-2112

Mailing address

2550 Pass Road
Biloxi, MS 39531-2112
Phone (228) 594-9904

Other names 1

  • J. Hunter Phillips, III, MD, PLLC Former legal business name

National Provider Directory

National Provider Directory

Locations

2550 Pass Rd
Biloxi, MS 39531
Phone (228) 594-9904

2541 Pass Rd
Ste E
Biloxi, MS 39531
Phone (228) 466-0263

NPI Registry JSON

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

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1093731697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2550 PASS ROAD",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "395312112",
            "telephone_number": "228-594-9904",
            "fax_number": "228-594-9962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 PASS ROAD",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "395312112",
            "telephone_number": "228-594-9904",
            "fax_number": "228-594-9962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERMATOLOGY ASSOCIATES OF SOUTH MS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-15",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "HUNTER",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "228-594-9904",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "MD."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "MS",
            "license": "10957",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "J. Hunter Phillips, III, MD, PLLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Biloxi, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.