Georgia Courtenay Salloum

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT0675 Issued in MS

Practice address

12261 Highway 49 Ste 1
Gulfport, MS 39503-2976

Phone

(228) 265-7185

NPI assigned

Jul 17, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Exceed of Ms, LLC

  • Physical Therapist
  • Biloxi, MS
  • NPI 1023895398
  NPD
• Exceed Physical Therapy, LLC

  • Physical Therapist
  • Gulfport, MS
  • NPI 1023508348

  Occupational Therapist

  NPD

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

{
    "created_epoch": "1689552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689552000000",
    "number": "1255010252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11018 CHANNELSIDE DR",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395036049",
            "telephone_number": "228-234-6882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12261 HIGHWAY 49 STE 1",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395032976",
            "telephone_number": "228-265-7185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALLOUM",
        "first_name": "GEORGIA",
        "middle_name": "COURTENAY",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-17",
        "last_updated": "2023-07-17",
        "certification_date": "2023-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MS",
            "license": "OT0675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Devante Sago
• Ellen Saizan, SLP
• Samuel Saizan
• Brandi Saksa
• Judy E Salling
• Sally Smirthwaite, LCSW, PLLC
• Daniel Salmeron, MD
• Sam'S East, Inc.
• Charles Samms, M.D.
• Claudia Nkeih Sampong, DO

• All providers in Gulfport, MS
• Occupational Therapist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2023; 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.