NPIMap

Organization Active NPI

Singing River Health System

  • Anesthesiology Physician
  • Pascagoula, MS
National Provider Identifier
1740918937
Registry record updated Aug 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
SINGING RIVER HEALTH SYSTEM
Practice address
2809 Denny Ave
Pascagoula, MS 39581-5301
Phone
(228) 809-5000
NPI assigned
Aug 15, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2022

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

Authorized official

Name
Janet Williams
Title
Provider Services Specialist
Phone
(228) 497-7576

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X Primary

Addresses

Primary practice location

2809 Denny Ave
Pascagoula, MS 39581-5301

Mailing address

2101 Highway 90
Gautier, MS 39553-5340
Phone (228) 497-7576

Other practice location 1

3109 Bienville Blvd
Ocean Springs, MS 39564-4361
Phone (228) 818-1111

Other names 1

  • Singing River Anesthesia Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221202000423 MS Part B Supplier - Hospital Department(S) 3870405194 Receives reassigned benefits from 48 practitioners
Practice locations: Pascagoula, MS; Ocean Springs, MS

Other NPIs with the same Medicare PAC ID 9

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

National Provider Directory

National Provider Directory
Tax ID family
Singing River Hosp System16 organizations share this tax ID, including this one

Other organizations with this tax ID 15

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

View all 15

Ownership & related parties

All facility ownership & control disclosures 5

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Singing River Health SystemPascagoula, MS, CCN 250040 Hospital Operational/Managerial Control Sep 1, 1998
Singing River GulfportGulfport, MS, CCN 250123 Hospital 5% Or Greater Direct Ownership Interest (100%) Jun 16, 2020
Singing River Skilled Nursing FacilityPascagoula, MS, CCN 255346 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 Sep 23, 2017
Sep 23, 2017
Hospice of LightOcean Springs, MS, CCN 251518 Hospice Operational/Managerial Control Sep 1, 1998
East Central Medical CenterHurley, MS, CCN 258543 Rural health clinic 5% Or Greater Direct Ownership Interest Sep 1, 2007

Owned or controlled facilities with NPI records 6

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 48

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

View all 48

NPI Registry JSON

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

{
    "created_epoch": "1660521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660521600000",
    "number": "1740918937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 HIGHWAY 90",
            "city": "GAUTIER",
            "state": "MS",
            "postal_code": "395535340",
            "telephone_number": "228-497-7576",
            "fax_number": "228-497-8869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2809 DENNY AVE",
            "city": "PASCAGOULA",
            "state": "MS",
            "postal_code": "395815301",
            "telephone_number": "228-809-5000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3109 Bienville Blvd",
            "address_purpose": "LOCATION",
            "city": "Ocean Springs",
            "state": "MS",
            "postal_code": "395644361",
            "country_code": "US",
            "telephone_number": "228-818-1111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SINGING RIVER HEALTH SYSTEM",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-15",
        "last_updated": "2022-08-15",
        "certification_date": "2022-08-10",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "JANET",
        "authorized_official_title_or_position": "PROVIDER SERVICES SPECIALIST",
        "authorized_official_telephone_number": "228-497-7576"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Singing River Anesthesia",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pascagoula, MS

Sources for this page

Verify at the official NPI Registry.