South Mississippi Durable Medical

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

SOUTH MISSISSIPPI DURABLE MEDICAL

Practice address

1821 Old Spanish TRL
Suite a
Gautier, MS 39553-6069

Phone

(228) 497-9590

NPI assigned

Sep 20, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Clarence A Hamilton III

Title

Member

Phone

(504) 813-9037

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202256000000",
    "number": "1215035498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1821 OLD SPANISH TRL",
            "address_2": "SUITE A",
            "city": "GAUTIER",
            "state": "MS",
            "postal_code": "395536069",
            "telephone_number": "228-497-9590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1821 OLD SPANISH TRL",
            "address_2": "SUITE A",
            "city": "GAUTIER",
            "state": "MS",
            "postal_code": "395536069",
            "telephone_number": "228-497-9590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH MISSISSIPPI DURABLE MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2008-02-06",
        "status": "A",
        "authorized_official_last_name": "HAMILTON",
        "authorized_official_first_name": "CLARENCE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "504-813-9037",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chelsey Nicole Smith
• Deborah Weaver Smith, BSW
• Gloria Christine Smith, BS
• Rebecca Lynn Smith, B.S.
• Robert L Smith, M.S.W.
• South Mississippi Mental Health Center
• Cindy Edna Spence, RN
• Marquita Spikes
• Ty William Denver Stafford, BA
• Johnathan Starko

• Durable Medical Equipment & Medical Supplies in Gautier, MS
• Providers in Gautier, MS by specialty
• Durable Medical Equipment & Medical Supplies in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2008; 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.