Organization Active NPI

Digestive Health Center, P.a.

  • Clinical Medical Laboratory
  • Ocean Springs, MS
National Provider Identifier
1720197916
Registry record updated Jun 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
25D0319945 Issued in MS
Legal business name
DIGESTIVE HEALTH CENTER, P.A.
Practice address
90 Industrial Park Cir
A
Ocean Springs, MS 39564-5800
Phone
(228) 872-6291
Fax
(228) 872-0452
NPI assigned
Aug 30, 2006
Last updated
Jun 2, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2015

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

Authorized official

Name
Alfred E McNair Jr., M.D.NPI 1700885746
Title
President
Phone
(228) 872-6291

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 25D0319945 MS Primary

Addresses

Primary practice location

90 Industrial Park Cir
A
Ocean Springs, MS 39564-5800

Mailing address

3890 Bienville Blvd
Ocean Springs, MS 39564-5803
Phone (228) 872-6291

Other identifiers 1

IdentifierTypeStateIssuer
09015516MedicaidMS

Other names 1

  • Digestive Health Center Independent Lab Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150720001259 MS Part B Supplier - Independent Clinical Laboratory 8325933021 Practice locations: Ocean Springs, MS

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
25D0319945Digestive Health Center90 Industrial Park Circle, Ocean Springs, MS 39564ComplianceFeb 10, 2027

National Provider Directory

National Provider Directory
Tax ID family
Digestive Health Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

9424 Three Rivers Rd
Gulfport, MS 39503
Phone (228) 575-2156

3009 Bienville Blvd
Ocean Springs, MS 39564

3890 Bienville Blvd
Ocean Springs, MS 39564
Phone (228) 872-6291

90 Industrial Park Cir
Ste A
Ocean Springs, MS 39564
Phone (228) 872-6291

Practitioners & affiliated clinicians

Practitioners 4

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": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433203200000",
    "number": "1720197916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3890 BIENVILLE BLVD",
            "city": "OCEAN SPRINGS",
            "state": "MS",
            "postal_code": "395645803",
            "telephone_number": "228-872-6291",
            "fax_number": "228-872-0452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 INDUSTRIAL PARK CIR",
            "address_2": "A",
            "city": "OCEAN SPRINGS",
            "state": "MS",
            "postal_code": "395645800",
            "telephone_number": "228-872-6291",
            "fax_number": "228-872-0452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIGESTIVE HEALTH CENTER, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2015-06-02",
        "status": "A",
        "authorized_official_last_name": "MCNAIR",
        "authorized_official_first_name": "ALFRED",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "228-872-6291",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "MS",
            "license": "25D0319945",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09015516",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Digestive Health Center Independent Lab",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Ocean Springs, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.