Southwest Mississippi Ear, Nose & Throat Clinic, P.a.

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

Legal business name

SOUTHWEST MISSISSIPPI EAR, NOSE & THROAT CLINIC, P.A.

Practice address

405 Marion Ave
McComb, MS 39648-2709

Phone

(601) 684-1250

Fax

(601) 684-0129

NPI assigned

Nov 21, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Lawrence Edsel Stewart, M.D.NPI 1447337936

Title

Vice President

Phone

(601) 684-1250

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MS, LA2 enrollments

Enrollment records 2

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

CLIA laboratory certificates

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gregory Walker Pippin, M.D.

  • Otolaryngology Physician
  • Fargo, ND
  • NPI 1700966090

  LA, MS

  Medicare reassignment Care Compare group NPD
• William Knox Austin Jr., M.D.

  • Otolaryngology Physician
  • McComb, MS
  • NPI 1457443897
  Medicare reassignment Care Compare group
• Heather Johnson Harden, C.F.N.P.

  • Family Nurse Practitioner
  • Liberty, MS
  • NPI 1861428716
  Medicare reassignment Care Compare group
• Terrilyn Lewis, NP-C, MSN

  • Family Nurse Practitioner
  • McComb, MS
  • NPI 1881797330
  Medicare reassignment Care Compare group
• Lawrence Edsel Stewart, M.D.

  • Otolaryngology Physician
  • McComb, MS
  • NPI 1447337936
  Authorized official Same address or phone

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1285709592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 MARION AVE",
            "city": "MCCOMB",
            "state": "MS",
            "postal_code": "396482709",
            "telephone_number": "601-684-1250",
            "fax_number": "601-684-0129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 MARION AVE",
            "city": "MCCOMB",
            "state": "MS",
            "postal_code": "396482709",
            "telephone_number": "601-684-1250",
            "fax_number": "601-684-0129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST MISSISSIPPI EAR, NOSE & THROAT CLINIC, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STEWART",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "EDSEL",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "601-684-1250",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pamela Sue Smithie, D.M.D.
• Southern Alternative & Integrative Medicine
• Southwest Center for Facial and Oral Surgery
• Southwest Clinic for Women PLLC
• Southwest Discoun T Drugs
• Southwest Mississippi ENT, LLC
• Southwest Mississippi Eye Center
• Southwest Mississippi Hearing Center
• Southwest Mississippi Mental Health Mental Retardation Commission (SW Ms Mental Health Region XI)
• Southwest Mississippi Regional Medical Center (Mississippi Orthopedic Center)

• Otolaryngology Physician in McComb, MS
• Providers in McComb, MS by specialty
• Otolaryngology Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.