Samuel Joseph Simmons III, Inc.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

04941 Issued in MS

Legal business name

SAMUEL JOSEPH SIMMONS III, INC.

Practice address

3601 Beach Blvd
#3
Pascagoula, MS 39567-7595

Phone

(228) 217-6989

NPI assigned

Apr 30, 2008

Last updated

Mar 16, 2010By 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

Dr. Samuel J. Simmons III, M.D.

Title

Ceo

Phone

(228) 217-6989

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1209513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268697600000",
    "number": "1790951796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3601 BEACH BLVD",
            "address_2": "#3",
            "city": "PASCAGOULA",
            "state": "MS",
            "postal_code": "395677595",
            "telephone_number": "228-217-6989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 BEACH BLVD",
            "address_2": "#3",
            "city": "PASCAGOULA",
            "state": "MS",
            "postal_code": "395677595",
            "telephone_number": "228-217-6989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMUEL JOSEPH SIMMONS III, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-30",
        "last_updated": "2010-03-16",
        "status": "A",
        "authorized_official_last_name": "SIMMONS",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "228-217-6989",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MS",
            "license": "04941",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Hillary Weaver Saucier, NP
• Amy Savell Savell
• Dean Allen Scheurich, DMD
• Ebony Denise Scott, CPSS

• Internal Medicine Physician in Pascagoula, MS
• Providers in Pascagoula, MS by specialty
• Internal Medicine Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 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.