Active NPI
Dermatology Associates of South Ms PLLC
- Dermatology Physician
- Biloxi, MS
National Provider Identifier
1093731697
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 10957
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 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
National Provider Directory
National Provider DirectoryLocations
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.