NPIMap

Individual provider Active NPI

Matthew Gregory Dykes, PA-C

  • Medical Physician Assistant
  • Ocean Springs, MS
National Provider Identifier
1548596166
Registry record updated May 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA000124 Issued in MS
Practice address
3890 Bienville Blvd
Ocean Springs, MS 39564-5803
Phone
(228) 872-6291
Fax
(228) 872-7627
NPI assigned
Nov 2, 2009
Last updated
May 2, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 2, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA000124 MS Primary

Addresses

Primary practice location

3890 Bienville Blvd
Ocean Springs, MS 39564-5803

Mailing address

3890 Bienville Blvd
Ocean Springs, MS 39564-5803
Phone (228) 872-6291

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mdykes24884@direct.mysrhs.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110228000202 MS Practitioner - Physician Assistant 0042491821 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Memorial Hospital at GulfportGroup PAC ID 2466524012, 473 clinicians

Practice addresses (Care Compare)

1340 Broad Ave
Gulfport, MS 39501-2460

1720 A Medical Park Dr
Suite 300
Biloxi, MS 39532-2127
Phone (228) 872-6291

3890 Bienville Blvd
Ocean Springs, MS 39564-5803
Phone (228) 872-6291

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA000124MSMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Singing River Health System CurrentSince Jun 27, 2016 Accepting new patients
Memorial Hospital at Gulfport CurrentSince Oct 30, 2025 Accepting new patients
Digestive Health Center PA CurrentSince Oct 1, 2025 Accepting new patients
Singing River Gulfport CurrentSince Aug 1, 2024 Accepting new patients
Memorial Hospital at Gulfport CurrentSince Oct 30, 2025 Accepting new patients
Memorial Hospital at Gulfport Past Accepting new patients

Locations

1720A Medical Park Dr
Ste 300
Biloxi, MS 39532
Phone (228) 702-1500

2101 Highway 90
Gautier, MS 39553
Phone (228) 497-7576

1340 Broad Ave
Ste 440
Gulfport, MS 39501
Phone (228) 867-4855

350 Cowan Rd
Gulfport, MS 39507
Phone (228) 206-7054

1199 Ocean Springs Rd
Ocean Springs, MS 39564
Phone (228) 875-9363

3890 Bienville Blvd
Ocean Springs, MS 39564
Phone (228) 872-6291

Interoperability endpoints

  • Direct secure messaging: mdykes24884@direct.mysrhs.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 63

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 63

NPI Registry JSON

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

{
    "created_epoch": "1257120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651449600000",
    "number": "1548596166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3890 BIENVILLE BLVD",
            "city": "OCEAN SPRINGS",
            "state": "MS",
            "postal_code": "395645803",
            "telephone_number": "228-872-6291",
            "fax_number": "228-872-7627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3890 BIENVILLE BLVD",
            "city": "OCEAN SPRINGS",
            "state": "MS",
            "postal_code": "395645803",
            "telephone_number": "228-872-6291",
            "fax_number": "228-872-7627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DYKES",
        "first_name": "MATTHEW",
        "middle_name": "GREGORY",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-11-02",
        "last_updated": "2022-05-02",
        "certification_date": "2022-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MS",
            "license": "PA000124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mdykes24884@direct.mysrhs.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "3890 Bienville Blvd",
            "city": "Ocean Springs",
            "state": "MS",
            "country_code": "US",
            "postal_code": "395645803",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Ocean Springs, MS

Sources for this page

Verify at the official NPI Registry.