Active NPI
Southern Ms Heart Center,PA
- Cardiovascular Disease Physician
- Hurley, MS
National Provider Identifier
1285911693
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- Legal business name
- SOUTHERN MS HEART CENTER,PA
- Practice address
- 7001 Highway 614
Hurley, MS 39555 - Phone
- (228) 762-1002
- Fax
- (228) 762-1012
- NPI assigned
- Nov 14, 2011
- Last updated
- Nov 14, 2011
- 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
- Mrs. Amy E Couch
- Title
- Office Manager
- Phone
- (228) 762-1002
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | NU | Primary |
Addresses
Primary practice location
7001 Highway 614
Hurley, MS 39555
Mailing address
4300 Hospital St Ste 102
Pascagoula, MS 39581-5329
Phone (228) 762-1002
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CG1009 | Other | MS | RAILROAD MEDICARE |
| 09014546 | Medicaid | MS |
National Provider Directory
National Provider Directory- Tax ID family
- Southern Mississippi Heart Center PA
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Cardiovascular Disease Physician
- Ocean Springs, MS
- NPI 1982620126
Practitioners & 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.
-
- Cardiovascular Disease Physician
- Safety Harbor, FL
- NPI 1023234242
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1321228800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1321228800000",
"number": "1285911693",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4300 HOSPITAL ST STE 102",
"city": "PASCAGOULA",
"state": "MS",
"postal_code": "395815329",
"telephone_number": "228-762-1002",
"fax_number": "228-762-1012"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7001 HIGHWAY 614",
"city": "HURLEY",
"state": "MS",
"postal_code": "39555",
"telephone_number": "228-762-1002",
"fax_number": "228-762-1012"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTHERN MS HEART CENTER,PA",
"organizational_subpart": "NO",
"enumeration_date": "2011-11-14",
"last_updated": "2011-11-14",
"status": "A",
"authorized_official_last_name": "COUCH",
"authorized_official_first_name": "AMY",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "228-762-1002",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "CG1009",
"state": "MS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "09014546",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hurley, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.