Mississippi Drug and Alcohol Treatment Center LLC

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

MISSISSIPPI DRUG AND ALCOHOL TREATMENT CENTER LLC

Practice address

13251 Reece Bergeron Rd
Biloxi, MS 39532-7557

Phone

(561) 324-2140

NPI assigned

Jan 26, 2017

Organization subpart

No

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

Authorized official

Name

Sandi Barnes

Title

Ceo

Phone

(561) 324-2140

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 2

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

• Dustin Marmalich, MD

  • Psychiatry Physician
  • Long Beach, MS
  • NPI 1093135154
  NPD (past)
• Pamela Nicole Tambini, M.D.

  • Addiction Medicine (Internal Medicine) Physician
  • Riviera Beach, FL
  • NPI 1396087698
  NPD (past)

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

{
    "created_epoch": "1485388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485388800000",
    "number": "1154868248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13251 REECE BERGERON RD",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "395327557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13251 REECE BERGERON RD",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "395327557",
            "telephone_number": "561-324-2140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSISSIPPI DRUG AND ALCOHOL TREATMENT CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-26",
        "last_updated": "2017-01-26",
        "status": "A",
        "authorized_official_last_name": "BARNES",
        "authorized_official_first_name": "SANDI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "561-324-2140"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mino'S Pharmacy Inc.
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• Vanessa Mirasol, DPM
• Mississippi Department Health
• Mississippi Doctors Group LLC
• Mississippi Em-1 Medical Services, PC
• Mississippi Hma DME, LLC
• Mississippi Methodist Hospital & Rehabilitation Center, Inc
• Mississippi Orthopaedic Institute
• Mississippi Physical Therapy Services of Biloxi, LLC

• All providers in Biloxi, MS
• Substance Use Disorder Rehabilitation Clinic/Center in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.