The Surgical Clinic

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

THE SURGICAL CLINIC

Practice address

11516 Lamey Bridge Rd Ste I
Diberville, MS 39540-2725

Phone

(228) 207-4190

Fax

(228) 207-4156

NPI assigned

Jan 24, 2008

Organization subpart

No

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

Authorized official

Name

Jerry Ross Adkins

Title

Owner

Phone

(228) 861-6049

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Adkins Medical Clinic Doing business as

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Carla Diane Diffenderfer, FNP

  • Family Nurse Practitioner
  • Diberville, MS
  • NPI 1467880922
  NPD (past)
• Frank Guice Martin, M.D.

  • Specialist
  • Biloxi, MS
  • NPI 1992749451
  NPD (past)
• Brian Raymond Pitre, M.D.

  • Surgery Physician
  • Ocean Springs, MS
  • NPI 1295779007
  NPD (past)
• Cayla Switzer, NP-C

  • Family Nurse Practitioner
  • Diberville, MS
  • NPI 1508317405
  NPD (past)

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

{
    "created_epoch": "1201132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537747200000",
    "number": "1689851479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2533 MERCEDES DR",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "395312813",
            "telephone_number": "228-388-3020",
            "fax_number": "228-392-9035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11516 LAMEY BRIDGE RD STE I",
            "city": "DIBERVILLE",
            "state": "MS",
            "postal_code": "395402725",
            "telephone_number": "228-207-4190",
            "fax_number": "228-207-4156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE SURGICAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-24",
        "last_updated": "2018-09-24",
        "status": "A",
        "authorized_official_last_name": "ADKINS",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "ROSS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "228-861-6049"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00012155",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Adkins Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Byron Cade Steen, DPT
• Steven K Miner
• Donna Swilley
• Cayla Switzer, NP-C
• Summer Lynn Tanner, LMT
• Therapy Solutions LLC
• Tyler Thibert
• Dianna Michelle Thomas, NP-C
• Crystal Thompson
• Melissa Tindol, RN

• Family Medicine Physician in Diberville, MS
• Providers in Diberville, MS by specialty
• Family Medicine Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2018; 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.