Matthew Gregory Dykes, PA-C
Individual provider Active NPI Medical Physician Assistant · Ocean Springs, MS
NPI 1548596166 · NPPES record last updated May 2, 2022
Key facts
- NPI
- 1548596166
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Medical Physician Assistant 363AM0700X
- License
- PA000124 (MS)
- Practice address
- 3890 Bienville Blvd
Ocean Springs, MS 39564-5803 - Phone
- (228) 872-6291
- Fax
- (228) 872-7627
- NPI assigned
- Nov 2, 2009
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 7
Hospital & facility affiliations 63
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Memorial Hospital at Gulfport
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
- Memorial Hospital at Gulfport
- Singing River Gulfport
- Singing River Health System
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: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110228000202 | MS | Practitioner - Physician Assistant | 0042491821 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA000124 | MS | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Digestive Health Center, P.a. | Current |
Accepting new patients | |
| Singing River Health System | Current |
Accepting new patients | |
| Memorial Hospital at Gulfport | Current |
Accepting new patients | |
| Memorial Hospital at Gulfport | Current |
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
350 Cowan Rd
Gulfport, MS 39507
Phone (228) 206-7054
1340 Broad Ave
Ste 440
Gulfport, MS 39501
Phone (228) 867-4856
1199 Ocean Springs Rd
Ocean Springs, MS 39564
Phone (228) 875-9363
3890 Bienville Blvd
Ocean Springs, MS 39564
Phone (228) 872-6291
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA000124 | MS | Yes |
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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mdykes24884@direct.mysrhs.com | Health Information Exchange (HIE) |
Other providers in Ocean Springs, MS
- Durable Supply
- Durable Supply
- Devin Duval
- Dva Healthcare Renal Care Inc
- Daniel Bryan Dyess
- E Franklin Rawlings, MD
- Kimmie Medina Earley
- Mary East
- Kimberly Rose Easterling
- Edgewater Eyecare, Inc
All providers in Ocean Springs, MS · Medical Physician Assistant in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 2, 2022. 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.