Hancock Physician Services, LLC

Primary specialty

Hospitalist PhysicianTaxonomy code 208M00000X

Legal business name

HANCOCK PHYSICIAN SERVICES, LLC

Practice address

149 Drinkwater Rd
Bay Saint Louis, MS 39520-1658

Phone

(228) 467-8669

NPI assigned

Aug 11, 2016

Organization subpart

No

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

Authorized official

Name

James Guidry Jr.

Title

Division President

Phone

(337) 354-1200

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1470873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470873600000",
    "number": "1750835385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 CORPORATE BLVD",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705083870",
            "telephone_number": "800-893-9698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "149 DRINKWATER RD",
            "city": "BAY SAINT LOUIS",
            "state": "MS",
            "postal_code": "395201658",
            "telephone_number": "228-467-8669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HANCOCK PHYSICIAN SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-11",
        "last_updated": "2016-08-11",
        "status": "A",
        "authorized_official_last_name": "GUIDRY",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "DIVISION PRESIDENT",
        "authorized_official_telephone_number": "337-354-1200",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Hospitalist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hancock Medical Center
• Hancock Medical Center
• Hancock Medical Center
• Hancock Medical Center
• Hancock Oral and Maxillofacial Surgery
• Ethel Wiest Hetrick, PH.D.
• J Austin Rahaim, DMD, Ms, PA
• Christina B James, LCSW
• Bailey Cambron Kassner, RD
• Abigail McKnight Lafleur, NP-C

• All providers in Bay Saint Louis, MS
• Hospitalist Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2016; 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.