NPIMap

Individual provider Active NPI

David Millard Rimmer III, M.D.

  • Specialist
  • Bay St Louis, MS
National Provider Identifier
1619976636
Registry record updated Feb 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
18097 Issued in MS
Practice address
202C Drinkwater Rd
Bay St Louis, MS 39520-1638
Phone
(228) 463-8939
Fax
(228) 463-8938
NPI assigned
Jul 20, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 18097 MS Primary

Addresses

Primary practice location

202C Drinkwater Rd
Bay St Louis, MS 39520-1638

Mailing address

149 Drinkwater Rd
Bay St.Louis, MS 39520-1614
Phone (228) 463-8939

Other identifiers 1

IdentifierTypeStateIssuer
03504366MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, MO2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040916000457 MS Practitioner - General Surgery 9335116169 Reassigns benefits to 1 organization
I20080630000193 MO Practitioner - General Surgery 9335116169 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Louisiana State University School of Medicine in Shreveport, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Memorial Hospital at GulfportGroup PAC ID 2466524012, 473 clinicians
Saint Francis Medical CenterGroup PAC ID 9931007929, 441 clinicians

Practice addresses (Care Compare)

1340 Broad Ave
Gulfport, MS 39501-2460

1340 Broad Ave
Gulfport, MS 39501-2465

3250 Gordonville Rd
Suite 384
Cape Girardeau, MO 63703-5095
Phone (573) 331-5522

4500 13TH St
Gulfport, MS 39501-2515
Phone (228) 867-3152

45000 E Aloha Dr
Suite a
Diamondhead, MS 39525-3373
Phone (228) 822-6006

833 Hwy 90
Suite 1
Bay St Louis, MS 39520-1601
Phone (228) 575-2920

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy19
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Mastectomy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux32
Melanoma (skin cancer) excision1-10
Removal of tissue13

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
18097MSMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Francis Medical Center CurrentSince Mar 1, 2020 Accepting new patients
Memorial Hospital at Gulfport Current Accepting new patients
Saint Francis Medical Center Current Accepting new patients
Mercy Clinic Springfield Communities CurrentSince Jul 23, 2018 Accepting new patients
Memorial Hospital at Gulfport CurrentSince Oct 1, 2014 Accepting new patients
Memorial Hospital at Gulfport CurrentSince Oct 1, 2014 Accepting new patients
Mercy Clinic Springfield Communities CurrentSince Jul 23, 2018 Accepting new patients
Saint Francis Medical Center Past Accepting new patients
C & M Medical Services, Inc. Past Accepting new patients
Sjmgroup Past Accepting new patients
Memorial Hospital at Gulfport Past Accepting new patients
Berland and McConnell MDS PA Past Accepting new patients
Hancock Medical Health Services, Inc. Past Accepting new patients

Locations

3250 Gordonville Rd
Ste 384
Cape Girardeau, MO 63703
Phone (573) 331-5522

211 Saint Francis Dr
Cpe Girardeau, MO 63703
Phone (573) 331-3000

60 Doctors Park
Cpe Girardeau, MO 63703
Phone (573) 334-3074

3126 S Jackson Ave
Joplin, MO 64804
Phone (417) 782-1600

100 Mercy Way
Joplin, MO 64804
Phone (417) 556-2300

100 Mercy Way
#440
Joplin, MO 64804
Phone (417) 781-4404

2115 S Fremont Ave
Ste 3050
Springfield, MO 65804
Phone (417) 820-3905

1965 S Fremont Ave
Ste 230
Springfield, MO 65804
Phone (417) 820-3809

620 S Glenstone Ave
Springfield, MO 65802
Phone (417) 829-4215

1340 Broad Ave
Ste 440
Gulfport, MS 39501
Phone (228) 867-4856

Interoperability endpoints

  • Direct secure messaging: drimmer12050@surescripts.sfmc.net
  • Direct secure messaging: drimmer@direct.mhg.com

Organizations & group practices 14

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

View all 14

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": "1121817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392681600000",
    "number": "1619976636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "149 DRINKWATER RD",
            "city": "BAY ST.LOUIS",
            "state": "MS",
            "postal_code": "395201614",
            "telephone_number": "228-463-8939",
            "fax_number": "228-463-8938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202C DRINKWATER RD",
            "city": "BAY ST LOUIS",
            "state": "MS",
            "postal_code": "395201638",
            "telephone_number": "228-463-8939",
            "fax_number": "228-463-8938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIMMER",
        "first_name": "DAVID",
        "middle_name": "MILLARD",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-20",
        "last_updated": "2014-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MS",
            "license": "18097",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03504366",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bay St Louis, MS

Sources for this page

Verify at the official NPI Registry.