Active NPI
Spinal & Neurological Surgery of South Ms
- Neurological Surgery Physician
- Gulfport, MS
National Provider Identifier
1336229046
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- Legal business name
- SPINAL & NEUROLOGICAL SURGERY OF SOUTH MS
- Practice address
- 15190 Community Rd
Ste 300
Gulfport, MS 39503 - Phone
- (228) 831-2229
- Fax
- (228) 831-9991
- NPI assigned
- Oct 17, 2006
- 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
- Barry L Monday, CMM CMPE
- Title
- Administrator
- Phone
- (601) 579-4453
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | Primary |
Addresses
Primary practice location
15190 Community Rd
Ste 300
Gulfport, MS 39503
Mailing address
PO Box 17708
Hattiesburg, MS 39404
Phone (601) 579-4453
National Provider Directory
National Provider Directory- Tax ID family
- Spinal Neurological Surgery of South Ms
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Neurological Surgery Physician
- Gulfport, MS
- NPI 1386973535
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161043200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1336229046",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 17708",
"city": "HATTIESBURG",
"state": "MS",
"postal_code": "39404",
"telephone_number": "601-579-4453",
"fax_number": "601-579-4460"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15190 COMMUNITY RD",
"address_2": "STE 300",
"city": "GULFPORT",
"state": "MS",
"postal_code": "39503",
"telephone_number": "228-831-2229",
"fax_number": "228-831-9991"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SPINAL & NEUROLOGICAL SURGERY OF SOUTH MS",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-17",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "MONDAY",
"authorized_official_first_name": "BARRY",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "601-579-4453",
"authorized_official_credential": "CMM CMPE"
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Neurological Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gulfport, MS
- Lesley Eura Spencer, PHARM D
- Sonya Denise Spencer, D.C.
- Mary Penland Speyrer, N.P.
- Melissa Yolette Spiers-Ladner, REGISTERED DIETITIAN
- Spinal & Neurological Surgery of South Mississippi PLLC
- Spinal & Neurological Surgery of South Ms PLLC
- Spine Institute of Mississippi
- Spine Med - Center
- Spine Medical Center,LLC
- Marcella Darice Spinnato, R.N.
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.