Singing River Gulfport

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

SINGING RIVER GULFPORT

Practice address

15200 Community Rd
Gulfport, MS 39503-3085

Phone

(228) 575-7000

NPI assigned

Dec 30, 2020

Last updated

Dec 30, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Janet Williams

Title

Provider Enrollment Specialist

Phone

(228) 497-7576

Specialties & licenses 1

Addresses

Other names 1

• Singing River Gulfport Skilled Nursing Facility Other name

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Singing River Health System

  dba Ocean Springs Hospital Professional Fees

  • Internal Medicine Physician
  • Ocean Springs, MS
  • NPI 1053528109

  Member Of

  NPD member

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

{
    "created_epoch": "1609286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609286400000",
    "number": "1528655966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 HIGHWAY 90",
            "city": "GAUTIER",
            "state": "MS",
            "postal_code": "395535340",
            "telephone_number": "228-497-7576",
            "fax_number": "228-497-8869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15200 COMMUNITY RD",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395033085",
            "telephone_number": "228-575-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SINGING RIVER GULFPORT",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-30",
        "last_updated": "2020-12-30",
        "certification_date": "2020-12-30",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "JANET",
        "authorized_official_title_or_position": "PROVIDER ENROLLMENT SPECIALIST",
        "authorized_official_telephone_number": "228-497-7576"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Singing River Gulfport Skilled Nursing Facility",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Amy Alyssa Simpson-Waid, ACNP
• Italy Simpson
• Jazsmine Sims
• Singing River Gulfport (Singing River Gulfport ER Group)
• Singing River Gulfport
• Singing River Gulfport
• Singing River Gulfport (Singing River Gulfport Anesthesia)
• Singing River Gulfport (Singing River Gulfport Psychiatric Facility)
• Singing River Gulfport (Singing River Gulfport Ambulatory)
• Singing River Gulfport (The Pharmacy at Singing River Gulfport)

• Skilled Nursing Facility in Gulfport, MS
• Providers in Gulfport, MS by specialty
• Skilled Nursing Facility in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2020; 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.