Southern Ms Planning and Development District

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

SOUTHERN MS PLANNING AND DEVELOPMENT DISTRICT

Practice address

9229 Hwy 49
Gulfport, MS 39503

Phone

(228) 868-2311

Fax

(228) 868-2550

NPI assigned

Oct 4, 2006

Last updated

Aug 22, 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

Dorothy Walley, RN

Title

Medicaid Waiver Supervisor

Phone

(228) 314-1475

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1568558161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9229 HWY 49",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "39503",
            "telephone_number": "228-868-2311",
            "fax_number": "228-863-2550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9229 HWY 49",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "39503",
            "telephone_number": "228-868-2311",
            "fax_number": "228-868-2550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN MS PLANNING AND DEVELOPMENT DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WALLEY",
        "authorized_official_first_name": "DOROTHY",
        "authorized_official_title_or_position": "MEDICAID WAIVER SUPERVISOR",
        "authorized_official_telephone_number": "228-314-1475",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00770319",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• South Mississippi Heart and Vascular Institute PLLC
• South Mississippi Nephrology, PLLC
• South Mississippi Oral Surgery & Implant Center PLLC
• South Mississippi Smiles Dentistry LLC (South Mississippi Smiles)
• Southern Family Urgent Care LLC
• Southern Neuro Solutions
• Southern Nights, LLC
• Southern Pharmaceutical Corporation (Quipt Home Medical Columbus)
• Southern Pro Read, LLC
• Southern Prosthetic Care LLC

• Case Management Agency in Gulfport, MS
• Providers in Gulfport, MS by specialty
• Case Management Agency in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.