Mississippi Otolaryngology Head and Neck Surgery

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

Legal business name

MISSISSIPPI OTOLARYNGOLOGY HEAD AND NECK SURGERY

Practice address

694 Belle Terre Blvd
La Place, LA 70068-1620

Phone

(504) 905-7033

NPI assigned

Apr 25, 2025

Last updated

Apr 25, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Gregory Pippin, MDNPI 1700966090

Title

Owner

Phone

(504) 905-7033

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MS, LA2 enrollments

Enrollment records 2

Locations

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.

• Gregory Walker Pippin, M.D.

  • Otolaryngology Physician
  • Fargo, ND
  • NPI 1700966090

  LA, MS

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1745539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745539200000",
    "number": "1386432961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 E LIVINGSTON PL",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700053943",
            "telephone_number": "504-905-7033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "694 BELLE TERRE BLVD",
            "city": "LA PLACE",
            "state": "LA",
            "postal_code": "700681620",
            "telephone_number": "504-905-7033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSISSIPPI OTOLARYNGOLOGY HEAD AND NECK SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-25",
        "last_updated": "2025-04-25",
        "certification_date": "2025-04-25",
        "status": "A",
        "authorized_official_last_name": "PIPPIN",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "504-905-7033",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keith Miller
• Michelle Jenkins Miller
• Verlencia Davon Millet, M.A., CCC-SLP
• Miramar Home Health, Inc
• Megan Miranda, APRN
• Lashelle Mitchell-Johnson, LPC
• Tyra Mitchell-Poree, MA, MA, LPC,NCC
• Nakia Mitchell
• Nia Mitchell
• Sheneal Mitchell

• Otolaryngology Physician in La Place, LA
• Providers in La Place, LA by specialty
• Otolaryngology Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2025; 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.

Verify at the official NPI Registry.