Active NPI
Head and Neck Surgery Center, LLC
- Ambulatory Surgical Clinic/Center
- Hattiesburg, MS
National Provider Identifier
1508933797
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- 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
- Last updated
- Feb 4, 2010
- 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
- Dr. Charles Edwin Guice III, M.D.
- Title
- President
- Phone
- (601) 268-5131
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | Primary |
Addresses
Primary practice location
107 Millsaps Dr
Hattiesburg, MS 39402-1348
Mailing address
107 Millsaps Drive
Hattiesburg, MS 39402
Phone (601) 268-5131
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.
-
- Otolaryngology Physician
- Hattiesburg, MS
- NPI 1831150838
-
- Otolaryngology Physician
- Hattiesburg, MS
- NPI 1922069921
NPI Registry JSON
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": [],
"endpoints": [],
"other_names": []
}
Other providers in Hattiesburg, MS
Sources for this page
- 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.