Active NPI
Southern Bone & Joint Specialists, PA
- Orthopaedic Surgery Physician
- Wiggins, MS
National Provider Identifier
1760098750
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- Legal business name
- SOUTHERN BONE & JOINT SPECIALISTS, PA
- Practice address
- 1428 Azalea Dr S
Wiggins, MS 39577-8195 - Phone
- (601) 554-7400
- Fax
- (601) 554-7499
- NPI assigned
- Sep 16, 2020
- Last updated
- Sep 16, 2020
- Organization subpart
- Yes
- Parent organization
- SOUTHERN BONE & JOINT SPECIALISTS, PA
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Stephanie Stewart McCrary
- Title
- Executive Director
- Phone
- (601) 554-7400
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | NU | Primary |
Addresses
Primary practice location
1428 Azalea Dr S
Wiggins, MS 39577-8195
Mailing address
3688 Veterans Memorial Dr Ste 200
Hattiesburg, MS 39401-8246
Phone (601) 554-7400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 09015183 | Medicaid | MS |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | sbjs@direct.southernboneandjoint.nextgenshare.com |
National Provider Directory
National Provider Directory- Part of
- Rocco a Barbieri
Interoperability endpoints
- sbjs@direct.southernboneandjoint.nextgenshare.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1600214400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1600214400000",
"number": "1760098750",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3688 VETERANS MEMORIAL DR STE 200",
"city": "HATTIESBURG",
"state": "MS",
"postal_code": "394018246",
"telephone_number": "601-554-7400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1428 AZALEA DR S",
"city": "WIGGINS",
"state": "MS",
"postal_code": "395778195",
"telephone_number": "601-554-7400",
"fax_number": "601-554-7499"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTHERN BONE & JOINT SPECIALISTS, PA",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "SOUTHERN BONE & JOINT SPECIALISTS, PA",
"enumeration_date": "2020-09-16",
"last_updated": "2020-09-16",
"certification_date": "2020-09-16",
"status": "A",
"authorized_official_last_name": "MCCRARY",
"authorized_official_first_name": "STEPHANIE",
"authorized_official_middle_name": "STEWART",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "601-554-7400"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "09015183",
"state": "MS"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "sbjs@direct.southernboneandjoint.nextgenshare.com",
"affiliation": "N",
"address_1": "1428 Azalea Dr S",
"city": "Wiggins",
"state": "MS",
"country_code": "US",
"postal_code": "395778195",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Wiggins, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.