Organization Active NPI

Regional Digestive Specialists, P.C.

  • Gastroenterology Physician
  • Biloxi, MS
National Provider Identifier
1497086607
Registry record updated Jun 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
REGIONAL DIGESTIVE SPECIALISTS, P.C.
Practice address
1721 Medical Park Dr
Suite 101
Biloxi, MS 39532-2109
Phone
(228) 392-1686
Fax
(228) 392-1738
NPI assigned
Jan 28, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2013

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

Authorized official

Name
Mrs. Bridget Logan
Title
Administrator
Phone
(228) 875-3033

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X Primary

Addresses

Primary practice location

1721 Medical Park Dr
Suite 101
Biloxi, MS 39532-2109

Mailing address

4511 Hospital St
Pascagoula, MS 39581-5336
Phone (228) 769-7791

Other identifiers 1

IdentifierTypeStateIssuer
06023748MedicaidMS

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
25D2003010Regional Digestive Specialists PC1721 Medical Park Drive Suite 101, Biloxi, MS 39532Certificate of waiverJan 28, 2028

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1264636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370304000000",
    "number": "1497086607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4511 HOSPITAL ST",
            "city": "PASCAGOULA",
            "state": "MS",
            "postal_code": "395815336",
            "telephone_number": "228-769-7791",
            "fax_number": "228-769-7747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1721 MEDICAL PARK DR",
            "address_2": "SUITE 101",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "395322109",
            "telephone_number": "228-392-1686",
            "fax_number": "228-392-1738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGIONAL DIGESTIVE SPECIALISTS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-28",
        "last_updated": "2013-06-04",
        "status": "A",
        "authorized_official_last_name": "LOGAN",
        "authorized_official_first_name": "BRIDGET",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "228-875-3033",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06023748",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Biloxi, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.