Forest General Dba Highland Community Hospital
Organization Active NPI Acute Care Nurse Practitioner · Picayune, MS
NPI 1124279922 · NPPES record last updated Oct 10, 2008
Key facts
- NPI
- 1124279922
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Acute Care Nurse Practitioner 363LA2100X
- Legal business name
- FOREST GENERAL DBA HIGHLAND COMMUNITY HOSPITAL
- Practice address
- 906 Sixth Ave
Picayune, MS 39466-3802 - Phone
- (601) 798-7529
- NPI assigned
- Oct 10, 2008
- Organization subpart
- No
Authorized official
- Name
- Bryan Stevens
- Title
- Cfo
- Phone
- (601) 798-4711
Other NPIs on the same Medicare enrollment 19
Corporate family (same tax ID) 40
Practitioners 36
-
L. Wesley Aldred, M.D.
-
Amber Martin Arnold, NP-C
-
Robert B Brahan, MD
-
Chelsea Leigh Cockrell, AGACNP-BC, FNP-BC
-
Eric W Enger, MD
-
Rasheeda Crowell Hall, M.D.
-
Yvonne Denise Hutto, FNP-C
-
Angela C Jones, MD
-
Raymond A Long, M.D.
-
Arthur C Martin, MD
-
Geralynn G. Morrison, M.D.
-
Shirley C Page, FNP
-
Billy Pearson, NP
-
Andrew M Queler, MD
-
Joseph Michael Radley, M.D.
-
Emily Schalmo, DO
-
Aimee Sundeen, M.D.
-
Gregory R Toczyl, MD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MS
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040624001351 | MS | Part B Supplier - Clinic/Group Practice | 1052397767 |
Receives reassigned benefits from 246 practitioners 21 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Prentiss, MS; Poplarville, MS; Hattiesburg, MS; Picayune, MS; Laurel, MS; Columbia, MS |
National Provider Directory
- Tax ID family
- Forrest County Gen Hospital
Locations
305 W Moody St
Poplarville, MS 39470
Phone (601) 795-4345
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner |
363LA2100X | Yes |
Addresses
Primary practice location
906 Sixth Ave
Picayune, MS 39466-3802
Mailing address
Dept 960296
Oklahoma City, OK 73196-0001
Phone (888) 447-2450
Other providers in Picayune, MS
- Deven Fejka Cameron
- Fleming Family Wellness, LLC
- Carlee Fleming
- Matthew Blake Fleming
- Stephanie Folks
- Forrest County General Hospital
- Forrest County General Hospital
- Forrest County General Hospital
- Forrest County General Hospital
- Forrest County General Hospital
All providers in Picayune, MS · Acute Care Nurse Practitioner in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 10, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.