Erin Adam Dewitt, M.D.
Individual provider Active NPI Family Medicine Physician · Diamondhead, MS
NPI 1508942137 · NPPES record last updated Apr 17, 2019
Key facts
- NPI
- 1508942137
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 19114 (MS)
- Practice address
- 4405 E Aloha Dr BLDG 1a
Diamondhead, MS 39525-3388 - Phone
- (228) 255-8818
- Fax
- (228) 255-8820
- NPI assigned
- Oct 27, 2006
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Hospital & facility affiliations 65
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- University of Mississippi School of Medicine, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
4405 E Aloha Dr
BLDG 1a
Diamondhead, MS 39525-3388
Phone (228) 255-8818
Hospital & facility affiliations
- Enhabit Home Health of the Gulf Coast
- Vitalcaring Group
- Memorial Hospital at Gulfport
- Ochsner Medical Center-Hancock
- Singing River Gulfport
- Memorial Hospital Biloxi
- Slidell Memorial Hospital
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 |
|---|---|---|---|---|
| I20070105000426 | MS | Practitioner - Family Practice | 0345240800 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19114 | MS | MD | Family Medicine Physician |
| MS19114 | MS | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gulf Coast Life, PLLC | Family Medicine | Current |
Accepting new patients |
| Stone County Hospital, Inc | Past | Accepting new patients |
Locations
4405 E Aloha Dr
Bldg 1A
Diamondhead, MS 39525
Phone (228) 255-8818
4405 E Aloha Dr
Diamondhead, MS 39525
Phone (228) 222-4662
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/CEEBDA/Endpoint/CEEBDA
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MS19114 | MS | |
| Family Medicine Physician | 207Q00000X | 19114 | MS | Yes |
Addresses
Primary practice location
4405 E Aloha Dr BLDG 1a
Diamondhead, MS 39525-3388
Mailing address
11163 Hidden Valley Rd
Pass Christian, MS 39571-9412
Phone (228) 586-6366
Other providers in Diamondhead, MS
- Cornelia Swayze, LCSW, LLC
- D and F Inc
- Thanh Dang
- David F. Roberts, MD
- Abigail Dearman
- Diamondhead Health Mart Pharmacy,LLC
- Diamondhead Medicine, LLC
- Diamondhead Pharmacy & Gifts, Inc
- Diamondhead Urgent Care
- Tracy Rene Diercks
All providers in Diamondhead, MS · Family 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 Apr 17, 2019. 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.