Pacific Physician Services, LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

PACIFIC PHYSICIAN SERVICES, LLC

Practice address

39 Franklin Rd
Suite 220
Hattiesburg, MS 39402-1588

Phone

(601) 450-2401

NPI assigned

Jul 21, 2006

Last updated

Nov 12, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Debbie T Brewer

Title

VP

Phone

(877) 892-9813

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194825600000",
    "number": "1790706463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 FRANKLIN RD",
            "address_2": "SUITE 220",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394021588",
            "telephone_number": "601-450-2401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 FRANKLIN RD",
            "address_2": "SUITE 220",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394021588",
            "telephone_number": "601-450-2401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC PHYSICIAN SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-21",
        "last_updated": "2007-11-12",
        "status": "A",
        "authorized_official_last_name": "BREWER",
        "authorized_official_first_name": "DEBBIE",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "877-892-9813"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03688866",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stacie Pace, AGACNP, AGPCNP
• William L Pace, M.D.
• Pacific Physician Services, LLC
• Pacific Physician Services, LLC
• Pacific Physician Services, LLC (Hattiesburg Neurosurgery)
• Page Family and Sports Chiropractic
• Brian Curtis Page, DC
• Sabrittany Page
• Shatara Page
• Shirley C Page, FNP

• General Practice Physician in Hattiesburg, MS
• Providers in Hattiesburg, MS by specialty
• General Practice Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2007; 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.