NPIMap

Individual provider Active NPI

Douglas C Lanier, M.D.

  • Nephrology Physician
  • Gulfport, MS
National Provider Identifier
1205825643
Registry record updated Jul 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
8833 Issued in MS
Practice address
4300B W Railroad St
Gulfport, MS 39501-2568
Phone
(228) 863-7393
Fax
(228) 248-0344
NPI assigned
Oct 18, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 8833 MS Primary

Addresses

Primary practice location

4300B W Railroad St
Gulfport, MS 39501-2568

Mailing address

PO Box 1810
Gulfport, MS 39502-1810
Phone (228) 863-7393

Other identifiers 2

IdentifierTypeStateIssuer
390006794OtherRAILROAD MEDICARE
118271MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100908000755 MS Practitioner - NephrologyPractitioner - Internal Medicine 9133110919 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
University of Alabama School of Medicine, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Mississippi Nephrology, PLLCGroup PAC ID 8628069408, 10 clinicians

Practice addresses (Care Compare)

4300 B W Railroad St
Gulfport, MS 39501-2568
Phone (228) 863-5705

Hospital & facility affiliations

  • FMC Orange Grove Dialysis facility, Gulfport, MS, CCN 252547
  • FMC Gulfport S. Ms Kidney Ctr Dialysis facility, Gulfport, MS, CCN 252540
  • North Gulfport Home Program Dialysis facility, Gulfport, MS, CCN 252579
  • DIberville Home Program Dialysis facility, Biloxi, MS, CCN 252582
  • Memorial Hospital at Gulfport Hospital, Gulfport, MS, CCN 250019
  • Singing River Gulfport Hospital, Gulfport, MS, CCN 250123

Merit-based Incentive Payment System (MIPS)

Final score
92.12 of 100Reported as group
Quality
98
Improvement activities
40
Cost
54.29

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
8833MSMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
South Mississippi Nephrology, PLLC Nephrology CurrentSince Jun 1, 2018 Accepting new patients
D'Iberville Home Program, LLC PastSince Dec 27, 2020 Accepting new patients

Locations

14215 Cook Rd
Biloxi, MS 39532
Phone (228) 872-0516

784 Vieux Marche Mall
Biloxi, MS 39530
Phone (228) 374-2575

15200 Community Rd
Gulfport, MS 39503
Phone (228) 575-7000

4300A W Railroad St
Gulfport, MS 39501
Phone (228) 436-1225

3301 25th Ave
Gulfport, MS 39501
Phone (228) 436-9819

11531 Old Highway 49
Gulfport, MS 39503
Phone (228) 392-7760

4300B W Railroad St
Gulfport, MS 39501
Phone (228) 863-5705

4500 13th St
#P
Gulfport, MS 39501
Phone (228) 865-3451

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 64

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 64

NPI Registry JSON

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

{
    "created_epoch": "1129593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404950400000",
    "number": "1205825643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1810",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395021810",
            "telephone_number": "228-863-7393",
            "fax_number": "228-248-0344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300B W RAILROAD ST",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395012568",
            "telephone_number": "228-863-7393",
            "fax_number": "228-248-0344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANIER",
        "first_name": "DOUGLAS",
        "middle_name": "C",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-18",
        "last_updated": "2014-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "MS",
            "license": "8833",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "390006794",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "118271",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gulfport, MS

Sources for this page

Verify at the official NPI Registry.