Organization Active NPI

Elite Surgical Assist

  • Registered Nurse First Assistant
  • Ocean Springs, MS
National Provider Identifier
1114729688
Registry record updated Apr 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered Nurse First AssistantTaxonomy code 163WR0006X
Legal business name
ELITE SURGICAL ASSIST
Practice address
3321 N 10TH St
Ocean Springs, MS 39564-8005
Phone
(478) 697-0436
NPI assigned
Mar 26, 2025
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Mr. Jeron Lowery, REGISTERED NURSENPI 1609676998
Title
Registered Nurse First Assist
Phone
(478) 697-0436

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

National Provider Directory

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse First AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 163WR0006X Primary

Addresses

NPPES NPI Registry

Primary practice location

3321 N 10TH St
Ocean Springs, MS 39564-8005

Mailing address

3321 N 10TH St
Ocean Springs, MS 39564-8005
Phone (478) 697-0436

Other practice location 1

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 2, 2025.

{
    "created_epoch": "1742947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743552000000",
    "number": "1114729688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3321 N 10TH ST",
            "city": "OCEAN SPRINGS",
            "state": "MS",
            "postal_code": "395648005",
            "telephone_number": "478-697-0436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3321 N 10TH ST",
            "city": "OCEAN SPRINGS",
            "state": "MS",
            "postal_code": "395648005",
            "telephone_number": "478-697-0436"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "150 Reynoir St",
            "address_purpose": "LOCATION",
            "city": "Biloxi",
            "state": "MS",
            "postal_code": "395304130",
            "country_code": "US",
            "telephone_number": "228-432-1571",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ELITE SURGICAL ASSIST",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-26",
        "last_updated": "2025-04-02",
        "certification_date": "2025-04-02",
        "status": "A",
        "authorized_official_last_name": "LOWERY",
        "authorized_official_first_name": "JERON",
        "authorized_official_title_or_position": "REGISTERED NURSE FIRST ASSIST",
        "authorized_official_telephone_number": "478-697-0436",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "REGISTERED NURSE"
    },
    "taxonomies": [
        {
            "code": "163WR0006X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocean Springs, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2025; 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.