Active NPI
Pacita R Coss, MD
- Family Medicine Physician
- Hattiesburg, MS
National Provider Identifier
1326056714
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 13634
- Practice address
- 222 S 27TH Ave
Hattiesburg, MS 39401-7165 - Phone
- (601) 450-3030
- Fax
- (601) 450-3031
- NPI assigned
- Aug 3, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 13634 | MS | Primary |
| Family Medicine Physician | 207Q00000X | 5754 | AZ |
Addresses
Primary practice location
222 S 27TH Ave
Hattiesburg, MS 39401-7165
Mailing address
PO Box 1729
Hattiesburg, MS 39403-1729
Phone (601) 545-8700
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00112217 | Medicaid | MS | |
| 1558931 | Other | MS | AMERICAN ADMIN GROUP |
| 512I080292 | Other | MS | MEIDARE PTAN (PROVIDER TRANSACTION ACCESS NUMBER) |
| 080047101 | Other | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1237161600000",
"number": "1326056714",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1729",
"city": "HATTIESBURG",
"state": "MS",
"postal_code": "394031729",
"telephone_number": "601-545-8700",
"fax_number": "601-582-5461"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "222 S 27TH AVE",
"city": "HATTIESBURG",
"state": "MS",
"postal_code": "394017165",
"telephone_number": "601-450-3030",
"fax_number": "601-450-3031"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COSS",
"first_name": "PACITA",
"middle_name": "R",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-03",
"last_updated": "2009-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MS",
"license": "13634",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AZ",
"license": "5754",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00112217",
"state": "MS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICAN ADMIN GROUP",
"identifier": "1558931",
"state": "MS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEIDARE PTAN (PROVIDER TRANSACTION ACCESS NUMBER)",
"identifier": "512I080292",
"state": "MS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "080047101",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Hattiesburg, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.