Southcrest Women Healthcare

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

Legal business name

SOUTHCREST WOMEN HEALTHCARE

Practice address

401South Crest Circle
Suite 101
Southaven, MS 38671

Phone

(662) 349-4322

NPI assigned

Mar 15, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Dabney J Hamner Jr., M.D.

Title

Owner

Phone

(662) 349-4322

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283299200000",
    "number": "1730213596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401SOUTH CREST CIRCLE",
            "address_2": "SUITE 101",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "38671",
            "telephone_number": "662-349-4322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401SOUTH CREST CIRCLE",
            "address_2": "SUITE 101",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "38671",
            "telephone_number": "662-349-4322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHCREST WOMEN HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-15",
        "last_updated": "2010-09-01",
        "status": "A",
        "authorized_official_last_name": "HAMNER",
        "authorized_official_first_name": "DABNEY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "662-349-4322",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00115267",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Southaven Internal Medicine, P.C.
• Southaven Services
• Southaven Sleep Clinic
• Southaven Surgery Center LLC
• Southcrest Anesthesia Services, PLLC
• Southeast Urology Network PC
• Southern Home Care
• Southern Orthodontic Specialists, P.C.
• Southgate Durable Medical Equipments
• Southland Recovery, PLLC

• Gynecology Physician in Southaven, MS
• Providers in Southaven, MS by specialty
• Gynecology Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2010; 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.