Head and Neck Surgery Center, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

HEAD AND NECK SURGERY CENTER, LLC

Practice address

107 Millsaps Dr
Hattiesburg, MS 39402-1348

Phone

(601) 268-5131

Fax

(601) 268-5138

NPI assigned

Nov 30, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Charles Edwin Guice III, M.D.

Title

President

Phone

(601) 268-5131

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 1

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

• Curtis Scott Childress, MD

  • Otolaryngology Physician
  • Hattiesburg, MS
  • NPI 1922069921
  NPD (past)

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265241600000",
    "number": "1508933797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 MILLSAPS DRIVE",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "39402",
            "telephone_number": "601-268-5131",
            "fax_number": "601-268-5138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 MILLSAPS DR",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394021348",
            "telephone_number": "601-268-5131",
            "fax_number": "601-268-5138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEAD AND NECK SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-30",
        "last_updated": "2010-02-04",
        "status": "A",
        "authorized_official_last_name": "GUICE",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "EDWIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "601-268-5131",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "H&N RAILROAD MEDICARE NUM",
            "identifier": "49003039",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00770145",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brandi Hatton, LSW
• Kim Scott Havard, M.S. CCC-SLP
• Hawkins Elementary School
• Rosanna Hawkins
• Tanisha Hayes, D.O.
• Christy Dryden Head, D.D.S.
• Healing and Growth Counseling, LLC
• Healing Hands Homecare LLC
• Healing Hands of Comfort, LLC
• Health Facility Laboratory

• Ambulatory Surgical Clinic/Center in Hattiesburg, MS
• Providers in Hattiesburg, MS by specialty
• Ambulatory Surgical Clinic/Center in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2010; 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.