Active NPI
Foot Specialists of South Mississippi PLLC
- Podiatrist
- Ocean Springs, MS
National Provider Identifier
1457470296
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 80130
- Legal business name
- FOOT SPECIALISTS OF SOUTH MISSISSIPPI PLLC
- Practice address
- 3704 Bienville Blvd
Suite A1
Ocean Springs, MS 39564 - Phone
- (228) 818-2801
- NPI assigned
- Mar 29, 2007
- Last updated
- Aug 22, 2020
- 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
- Mrs. Jaime L Swinford
- Title
- Billing Manager
- Phone
- (228) 818-2801
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 80130 | MS | Primary |
Addresses
Primary practice location
3704 Bienville Blvd
Suite A1
Ocean Springs, MS 39564
Mailing address
PO Box 6278
Diberville, MS 39540-6278
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00116781 | Medicaid | MS |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
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.
-
- Foot Surgery Podiatrist
- Poplarville, MS
- NPI 1669575668
-
- Foot & Ankle Surgery Podiatrist
- New Orleans, LA
- NPI 1013959030
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175126400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1457470296",
"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"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3704 BIENVILLE BLVD",
"address_2": "SUITE A1",
"city": "OCEAN SPRINGS",
"state": "MS",
"postal_code": "39564",
"telephone_number": "228-818-2801"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FOOT SPECIALISTS OF SOUTH MISSISSIPPI PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-29",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "SWINFORD",
"authorized_official_first_name": "JAIME",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "BILLING MANAGER",
"authorized_official_telephone_number": "228-818-2801",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "MS",
"license": "80130",
"primary": true
}
],
"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 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.