Active NPI
Spinal & Neurological Surgery of South Mississippi PLLC
- Specialist
- Gulfport, MS
National Provider Identifier
1174614325
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Legal business name
- SPINAL & NEUROLOGICAL SURGERY OF SOUTH MISSISSIPPI PLLC
- Practice address
- 15190 Community Road
Suite 300
Gulfport, MS 39503-3499 - Phone
- (228) 831-2229
- Fax
- (228) 831-9991
- NPI assigned
- Sep 27, 2006
- Last updated
- Mar 23, 2015
- 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
- Eric J Graham, MD
- Title
- MD/Partner
- Phone
- (228) 631-2229
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | NU | Primary |
Addresses
Primary practice location
15190 Community Road
Suite 300
Gulfport, MS 39503-3499
Mailing address
15190 Community Road
Suite 300
Gulfport, MS 39503-3499
Phone (228) 831-2229
National Provider Directory
National Provider DirectoryLocations
15190 Community Rd
Ste 300
Gulfport, MS 39503
Phone (228) 819-8586
15190 Community Rd
Ste 350
Gulfport, MS 39503
Phone (228) 277-1115
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159315200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1427068800000",
"number": "1174614325",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15190 COMMUNITY ROAD",
"address_2": "SUITE 300",
"city": "GULFPORT",
"state": "MS",
"postal_code": "395033499",
"telephone_number": "228-831-2229",
"fax_number": "228-831-9991"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15190 COMMUNITY ROAD",
"address_2": "SUITE 300",
"city": "GULFPORT",
"state": "MS",
"postal_code": "395033499",
"telephone_number": "228-831-2229",
"fax_number": "228-831-9991"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SPINAL & NEUROLOGICAL SURGERY OF SOUTH MISSISSIPPI PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-27",
"last_updated": "2015-03-23",
"status": "A",
"authorized_official_last_name": "GRAHAM",
"authorized_official_first_name": "ERIC",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "MD/PARTNER",
"authorized_official_telephone_number": "228-631-2229",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gulfport, MS
- Joseph Spence, LPC
- Lesley Eura Spencer, PHARM D
- Sonya Denise Spencer, D.C.
- Mary Penland Speyrer, N.P.
- Melissa Yolette Spiers-Ladner, REGISTERED DIETITIAN
- Spinal & Neurological Surgery of South Ms
- Spinal & Neurological Surgery of South Ms PLLC
- Spine Institute of Mississippi
- Spine Med - Center
- Spine Medical Center,LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.