Canon Hospice-Mississippi Inc

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

135 Issued in MS

Legal business name

CANON HOSPICE-MISSISSIPPI INC

Doing business as

Canon Hospice

Practice address

1520 Broad Ave
Suite 500
Gulfport, MS 39501-3601

Phone

(228) 575-6251

Fax

(228) 575-8225

NPI assigned

May 19, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Shiva K Akula, M.D.NPI 1679643639

Title

President

Phone

(504) 669-3825

Specialties & licenses 1

Addresses

Other names 1

• Canon Hospice Doing business as

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Locations

Change-of-ownership history 1

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

• Adr Hospice, LLC

  • Community Based Hospice Care Agency
  • Gulfport, MS
  • NPI 1710778600

  Sold to, 2025-04-02

  CMS change of ownership

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shiva Kumar Akula, M.D

  • Infectious Disease Physician
  • New Orleans, LA
  • NPI 1679643639
  NPD (past) Authorized official
• Jamie Aldridge Akula

  • Hospice Registered Nurse
  • New Orleans, LA
  • NPI 1780453555
  NPD (past)

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409616000000",
    "number": "1417900465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 850715",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701850715",
            "telephone_number": "504-669-3825",
            "fax_number": "228-575-8225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1520 BROAD AVE",
            "address_2": "SUITE 500",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395013601",
            "telephone_number": "228-575-6251",
            "fax_number": "228-575-8225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANON HOSPICE-MISSISSIPPI INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-19",
        "last_updated": "2014-09-02",
        "status": "A",
        "authorized_official_last_name": "AKULA",
        "authorized_official_first_name": "SHIVA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "504-669-3825",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "MS",
            "license": "135",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Canon Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Channing Campbell
• Jessica Nicole Campbell, M.S., NCC
• Madelena Campbell, RN, CPNP-BC, CPN
• Megan Campbell
• Olivia Faith Campbell
• Amanda J Canterberry, LMT
• Shannon Vallee Canzoneri, PHARM D
• Shannon Parlett Caprari, PCMHT
• Care Doc LLC
• Care Doc LLC

• Community Based Hospice Care Agency in Gulfport, MS
• Providers in Gulfport, MS by specialty
• Community Based Hospice Care Agency in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.