Individual provider Active NPI

Gregory Wade Horn, M.D.

  • Obstetrics & Gynecology Physician
  • Ocean Springs, MS
National Provider Identifier
1659371128
Registry record updated Oct 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
15343 Issued in MS
Practice address
21 Doctors Dr
Ocean Springs, MS 39564-5709
Phone
(228) 872-1505
Fax
(228) 872-8575
NPI assigned
Jul 27, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 15343 MS Primary
Obstetrics & Gynecology Physician 207V00000X 021971 LA

Addresses

Primary practice location

21 Doctors Dr
Ocean Springs, MS 39564-5709

Mailing address

21 Doctors Dr
Ocean Springs, MS 39564-5709
Phone (228) 818-0717

Other identifiers 5

IdentifierTypeStateIssuer
00118187MedicaidMS
160048497OtherMSMEDICARE RAILROAD
7430044OtherMSUHC PPO NUMBER
721345420OtherMSCOMMERCIAL PAYORS NUMBER
5916558OtherMSAETNA PPO NUMBER

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040423000930 MS Practitioner - Obstetrics/Gynecology 9739175902 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Louisiana State University School of Medicine in Shreveport, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mississippi Coast OB/GYN, P.a.Group PAC ID 5395731558, 4 clinicians

Practice addresses (Care Compare)

21 Doctors Dr
Ocean Springs, MS 39564-5709
Phone (228) 872-1505

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
021971LAMDObstetrics & Gynecology Physician
15343MSMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mississippi Coast OB/GYN, P.a. Obstetrics & Gynecology CurrentSince Jun 15, 1997 Accepting new patients
Lucedale OB/GYN Center Obstetrics & Gynecology PastSince Jul 19, 2011 Accepting new patients
Singing River Gulfport Past Accepting new patients
Lucedale OBGYN Center Obstetrics & Gynecology Past Accepting new patients

Locations

21 Doctors Dr
Ocean Springs, MS 39564
Phone (228) 872-1505

Organizations & group practices 4

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.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1122422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287446400000",
    "number": "1659371128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 DOCTORS DR",
            "city": "OCEAN SPRINGS",
            "state": "MS",
            "postal_code": "395645709",
            "telephone_number": "228-818-0717",
            "fax_number": "228-872-8575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 DOCTORS DR",
            "city": "OCEAN SPRINGS",
            "state": "MS",
            "postal_code": "395645709",
            "telephone_number": "228-872-1505",
            "fax_number": "228-872-8575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORN",
        "first_name": "GREGORY",
        "middle_name": "WADE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-27",
        "last_updated": "2010-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MS",
            "license": "15343",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "LA",
            "license": "021971",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00118187",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "160048497",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC PPO NUMBER",
            "identifier": "7430044",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMERCIAL PAYORS NUMBER",
            "identifier": "721345420",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PPO NUMBER",
            "identifier": "5916558",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocean Springs, MS

Sources for this page

Verify at the official NPI Registry.