Individual provider Active NPI

Rebecca Lynn Guice, PA-C

  • Physician Assistant
  • Ocean Springs, MS
National Provider Identifier
1811445414
Registry record updated Oct 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MS00320 Issued in MS
Practice address
24 Marks Rd
Ocean Springs, MS 39564-4350
Phone
(228) 872-8873
Fax
(228) 872-8876
NPI assigned
Sep 13, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X MS00320 MS Primary

Addresses

Primary practice location

24 Marks Rd
Ocean Springs, MS 39564-4350

Mailing address

24 Marks Rd
Ocean Springs, MS 39564-4350
Phone (228) 872-8873

Other practice location 1

3109 Shortcut Rd
Pascagoula, MS 39567-1811
Phone (228) 202-5182

Other practice location 2

6510 Highway 90 Ste C
Gautier, MS 39553-5015
Phone (228) 372-8559

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170823004269 MS Practitioner - Physician Assistant 1951673094 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Memorial Hospital at GulfportGroup PAC ID 2466524012, 473 clinicians
Skin in the Game, PLLCGroup PAC ID 8022444538, 2 clinicians

Practice addresses (Care Compare)

1340 Broad Ave
Gulfport, MS 39501-2460

1756 Popps Ferry Rd
Biloxi, MS 39532-2118

6510 Hwy 90
Suite C
Gautier, MS 39553-5015
Phone (228) 372-8559

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
MS00320MSMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Hospital at Gulfport CurrentSince Jun 25, 2017 Accepting new patients
Memorial Hospital at Gulfport CurrentSince Jun 25, 2017 Accepting new patients
The Dermatology Clinic, PLLC Past Accepting new patients

Locations

1340 Broad Ave
Ste 440
Gulfport, MS 39501
Phone (228) 867-4856

Interoperability endpoints

  • Direct secure messaging: rguice@directaddress.net
  • Direct secure messaging: rebeccag@tgarrott.emadirect.md

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 61

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 61

NPI Registry JSON

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

{
    "created_epoch": "1473724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729555200000",
    "number": "1811445414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 MARKS RD",
            "city": "OCEAN SPRINGS",
            "state": "MS",
            "postal_code": "395644350",
            "telephone_number": "228-872-8873",
            "fax_number": "228-872-8876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 MARKS RD",
            "city": "OCEAN SPRINGS",
            "state": "MS",
            "postal_code": "395644350",
            "telephone_number": "228-872-8873",
            "fax_number": "228-872-8876"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3109 Shortcut Rd",
            "address_purpose": "LOCATION",
            "city": "Pascagoula",
            "state": "MS",
            "postal_code": "395671811",
            "country_code": "US",
            "telephone_number": "228-202-5182",
            "fax_number": "228-202-5184",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6510 Highway 90 Ste C",
            "address_purpose": "LOCATION",
            "city": "Gautier",
            "state": "MS",
            "postal_code": "395535015",
            "country_code": "US",
            "telephone_number": "228-372-8559",
            "fax_number": "228-864-3333",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUICE",
        "first_name": "REBECCA",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-13",
        "last_updated": "2024-10-22",
        "certification_date": "2024-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MS",
            "license": "MS00320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocean Springs, MS

Sources for this page

Verify at the official NPI Registry.