NPIMap

Organization Active NPI

Singing River Hospital System

Doing business as Gautier Internal Medicine Clinic

  • Internal Medicine Physician
  • Gautier, MS
National Provider Identifier
1588857643
Registry record updated Jun 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
SINGING RIVER HOSPITAL SYSTEM
Doing business as
Gautier Internal Medicine Clinic
Practice address
2105 Old Spanish TRL
Gautier, MS 39553-6000
Phone
(228) 497-7980
NPI assigned
Aug 22, 2007
Last updated
Jun 18, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2008

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

Authorized official

Name
Mr. Chris Anderson
Title
Chief Executive Officer
Phone
(228) 497-7908

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X Primary

Addresses

Primary practice location

2105 Old Spanish TRL
Gautier, MS 39553-6000

Mailing address

2101 Highway 90
Gautier, MS 39553-5340

Other names 1

  • Gautier Internal Medicine Clinic Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Singing River Hosp16 organizations share this tax ID, including this one

Other organizations with this tax ID 15

Organizations that report the same tax identification number in the National Provider Directory.

View all 15

Locations

2105 Old Spanish Trl
Gautier, MS 39553
Phone (228) 205-7700

NPI Registry JSON

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

{
    "created_epoch": "1187740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213747200000",
    "number": "1588857643",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2105 OLD SPANISH TRL",
            "city": "GAUTIER",
            "state": "MS",
            "postal_code": "395536000",
            "telephone_number": "228-497-7980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SINGING RIVER HOSPITAL SYSTEM",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-22",
        "last_updated": "2008-06-18",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "228-497-7908",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gautier Internal Medicine Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gautier, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2008; 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.