Spinal & Neurological Surgery of South Ms PLLC

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

Legal business name

SPINAL & NEUROLOGICAL SURGERY OF SOUTH MS PLLC

Practice address

11010 David St
Suite B
Gulfport, MS 39503-3481

Phone

(828) 832-8327

NPI assigned

Dec 17, 2009

Organization subpart

No

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

Authorized official

Name

Melanie L Fayard, PT

Title

PT Clinic Manager

Phone

(228) 832-8327

Specialties & licenses 1

Addresses

Tax ID family

Spinal Neurological Surgery of South Ms2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Spinal & Neurological Surgery of South Ms

  • Neurological Surgery Physician
  • Gulfport, MS
  • NPI 1336229046
  NPD tax ID

Locations

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

{
    "created_epoch": "1261008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1261008000000",
    "number": "1386973535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11010 DAVID ST",
            "address_2": "SUITE B",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395033481",
            "telephone_number": "828-832-8327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11010 DAVID ST",
            "address_2": "SUITE B",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395033481",
            "telephone_number": "828-832-8327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINAL & NEUROLOGICAL SURGERY OF SOUTH MS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-17",
        "last_updated": "2009-12-17",
        "status": "A",
        "authorized_official_last_name": "FAYARD",
        "authorized_official_first_name": "MELANIE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PT CLINIC MANAGER",
        "authorized_official_telephone_number": "228-832-8327",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• 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
• Spine Institute of Mississippi
• Spine Med - Center
• Spine Medical Center,LLC
• Marcella Darice Spinnato, R.N.
• Jaden Spradlin

• Neurological Surgery Physician in Gulfport, MS
• Providers in Gulfport, MS by specialty
• Neurological Surgery Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 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.

Verify at the official NPI Registry.