Active NPI
South Mississippi Nephrology, PLLC
- Nephrology Physician
- Biloxi, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- Legal business name
- SOUTH MISSISSIPPI NEPHROLOGY, PLLC
- Practice address
- 784 Vieux Marche
Biloxi, MS 39530 - Phone
- (228) 374-7525
- Fax
- (228) 864-0546
- NPI assigned
- Apr 11, 2007
- Last updated
- Jul 11, 2007
- 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
- Dr. Douglas C Lanier Jr., M.D.
- Title
- Managing Member
- Phone
- (228) 863-7393
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | NU | Primary |
Addresses
Primary practice location
784 Vieux Marche
Biloxi, MS 39530
Mailing address
4300B W Railroad St
Gulfport, MS 39501-2568
Phone (228) 863-7393
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040520000683 | MS | Part B Supplier - Clinic/Group Practice | 8628069408 |
Receives reassigned benefits from 14 practitioners 2 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Biloxi, MS; Diamondhead, MS; Gulfport, MS |
Other NPIs on the same Medicare enrollment 2
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Nephrology Physician
- Gulfport, MS
- NPI 1205825643
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176249600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1184112000000",
"number": "1285857623",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4300B W RAILROAD ST",
"city": "GULFPORT",
"state": "MS",
"postal_code": "395012568",
"telephone_number": "228-863-7393",
"fax_number": "228-864-0546"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "784 VIEUX MARCHE",
"city": "BILOXI",
"state": "MS",
"postal_code": "39530",
"telephone_number": "228-374-7525",
"fax_number": "228-864-0546"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTH MISSISSIPPI NEPHROLOGY, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-11",
"last_updated": "2007-07-11",
"status": "A",
"authorized_official_last_name": "LANIER",
"authorized_official_first_name": "DOUGLAS",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "MANAGING MEMBER",
"authorized_official_telephone_number": "228-863-7393",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Biloxi, MS
- Brittany Corrin Souder, IDMT
- South Mississippi AIDS Task Force, Inc.
- South Mississippi Endodontics PA
- South Mississippi Home Health, Inc. (Deaconess Hospice)
- South Mississippi Maxillofacial Surgery Center
- South Shore Radiology, LLC
- Trevor South
- Southern Home Care Services, Inc.
- Southerncare, Inc. (Gentiva)
- Terry Lee Sovinsky, M.S.W.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.