NPIMap

Organization Active NPI

Foot Specialists of South Mississippi PLLC

  • Clinical Medical Laboratory
  • Ocean Springs, MS
National Provider Identifier
1346326808
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
FOOT SPECIALISTS OF SOUTH MISSISSIPPI PLLC
Practice address
999 N Halstead Rd
Ocean Springs, MS 39564-3105
Phone
(228) 818-2801
Fax
(228) 818-2803
NPI assigned
Oct 27, 2006
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Ms. Kimberly Gibbs
Title
Office Manager
Phone
(228) 818-2801

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X MS Primary
Durable Medical Equipment & Medical Supplies 332B00000X 80130 MS
Podiatrist 213E00000X 80130 MS

Addresses

Primary practice location

999 N Halstead Rd
Ocean Springs, MS 39564-3105

Mailing address

PO Box 6278
Diberville, MS 39540-6278
Phone (228) 818-2801

Other identifiers 1

IdentifierTypeStateIssuer
00116781MedicaidMS

National Provider Directory

National Provider Directory

Locations

1720A Medical Park Dr
Ste 100
Biloxi, MS 39532
Phone (228) 392-4668

3704 Bienville Blvd
#1A
Ocean Springs, MS 39564
Phone (228) 392-4668

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1346326808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6278",
            "city": "DIBERVILLE",
            "state": "MS",
            "postal_code": "395406278",
            "telephone_number": "228-818-2801",
            "fax_number": "228-818-2803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "999 N HALSTEAD RD",
            "city": "OCEAN SPRINGS",
            "state": "MS",
            "postal_code": "395643105",
            "telephone_number": "228-818-2801",
            "fax_number": "228-818-2803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOT SPECIALISTS OF SOUTH MISSISSIPPI PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-27",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "GIBBS",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "228-818-2801",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "MS",
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MS",
            "license": "80130",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MS",
            "license": "80130",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00116781",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocean Springs, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.