NPIMap

Organization Active NPI

Hancock Medical Health Services, Inc.

Doing business as Hancock Medical Pass Christian

  • Family Nurse Practitioner
  • Pass Christian, MS
National Provider Identifier
1700195047
Registry record updated Dec 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11217 Issued in MS
Legal business name
HANCOCK MEDICAL HEALTH SERVICES, INC.
Doing business as
Hancock Medical Pass Christian
Practice address
517 W North St Ste C&D
Pass Christian, MS 39571-2605
Phone
(228) 467-8700
Fax
(228) 467-8799
NPI assigned
Oct 5, 2010
Last updated
Dec 10, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2013

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

Authorized official

Name
Mr. Guy Ken Smith, MBA
Title
Director Operations
Phone
(985) 898-7091

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11217 MS Primary

Addresses

Primary practice location

517 W North St Ste C&D
Pass Christian, MS 39571-2605

Mailing address

PO Box 2790
Bay St Louis, MS 39521-2790
Phone (228) 467-8700

Other names 1

  • Hancock Medical Pass Christian Doing business as

National Provider Directory

National Provider Directory

Locations

517 W North St
Pass Christian, MS 39571
Phone (228) 467-8688

517 W North St
Ste Cd
Pass Christian, MS 39571
Phone (228) 467-8700

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1286236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386633600000",
    "number": "1700195047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2790",
            "city": "BAY ST LOUIS",
            "state": "MS",
            "postal_code": "395212790",
            "telephone_number": "228-467-8700",
            "fax_number": "228-467-8799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "517 W NORTH ST STE C&D",
            "city": "PASS CHRISTIAN",
            "state": "MS",
            "postal_code": "395712605",
            "telephone_number": "228-467-8700",
            "fax_number": "228-467-8799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HANCOCK MEDICAL HEALTH SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-05",
        "last_updated": "2013-12-10",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "GUY",
        "authorized_official_middle_name": "KEN",
        "authorized_official_title_or_position": "DIRECTOR OPERATIONS",
        "authorized_official_telephone_number": "985-898-7091",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "11217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hancock Medical Pass Christian",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pass Christian, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2013; 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.