Joshua Coker, M.D.
Individual provider Active NPI Internal Medicine Physician · Pascagoula, MS
NPI 1457795684 · NPPES record last updated May 2, 2022
Key facts
- NPI
- 1457795684
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 25334 (MS)
- Practice address
- 2809 Denny Ave
Pascagoula, MS 39581-5301 - Phone
- (228) 809-5510
- Fax
- (228) 809-5519
- NPI assigned
- Apr 18, 2013
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 8
Hospital & facility affiliations 63
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Singing River Gulfport
Practice addresses (Care Compare)
15200 Community Rd
Gulfport, MS 39503-3085
Phone (228) 575-7112
350 Cowan Rd
Gulfport, MS 39507-2008
Phone (228) 206-7054
Hospital & facility affiliations
- Singing River Gulfport
- Singing River Health System
- Memorial Hospital at Gulfport
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20171227002905 | MS | Practitioner - Internal Medicine | 0941519284 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25334 | MS | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hattiesburg Clinic, PA | General Practice | Current |
Accepting new patients |
| Singing River Health System | Current |
Accepting new patients | |
| Singing River Gulfport | Current |
Accepting new patients | |
| Hattiesburg Clinic PA | Current |
Accepting new patients | |
| Singing River Health System | Internal Medicine | Current |
Accepting new patients |
| Singing River Gulfport | Current |
Accepting new patients | |
| Singing River Gulfport | Past | Accepting new patients |
Locations
2101 Highway 90
Gautier, MS 39553
Phone (228) 497-7576
350 Cowan Rd
Gulfport, MS 39507
Phone (228) 206-7054
415 S 28th Ave
Hattiesburg, MS 39401
Phone (601) 261-3606
1199 Ocean Springs Rd
Ocean Springs, MS 39564
Phone (228) 875-9363
2809 Denny Ave
Pascagoula, MS 39581
Phone (228) 809-5000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Internal Medicine Physician | 207R00000X | 25334 | MS | Yes |
Addresses
Primary practice location
2809 Denny Ave
Pascagoula, MS 39581-5301
Mailing address
2101 Highway 90
Gautier, MS 39553-5340
Phone (228) 497-7576
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 08954280 | Medicaid | MS |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jcoker@direct.mysrhs.com | Health Information Exchange (HIE) |
Other providers in Pascagoula, MS
- Coast to Coast Rehab LLC
- Coastal Cardiology, PC
- Cochran Counseling Services LLC
- Gina Cochran
- Melissa Ruth Cochran
- Devon Elijah Coleman
- Community Rehab of Greenville Inc
- Complete Health Urgicare, Inc
- John T Connors
- Controlex Enterprises, Inc.
All providers in Pascagoula, MS · Internal Medicine Physician in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 2, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.