NPIMap

Organization Active NPI

The University of Southern Mississippi

Doing business as USM Sports Medicine and Rehabilitation

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Hattiesburg, MS
National Provider Identifier
1821490723
Registry record updated Sep 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
Legal business name
THE UNIVERSITY OF SOUTHERN MISSISSIPPI
Doing business as
USM Sports Medicine and Rehabilitation
Practice address
118 College Dr
5017
Hattiesburg, MS 39406-0002
Phone
(601) 266-5401
Fax
(601) 266-6821
NPI assigned
Sep 23, 2014
Last updated
Sep 23, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2014

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

Authorized official

Name
Todd McCall
Title
Head Athletics Trainer
Phone
(601) 266-5401

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Orthopaedic Surgery) PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207XX0005X Primary

Addresses

Primary practice location

118 College Dr
5017
Hattiesburg, MS 39406-0002

Mailing address

5050 Spring Valley Rd
Dallas, TX 75244-3995
Phone (800) 555-9073

Other names 1

  • USM Sports Medicine and Rehabilitation Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Southern Miss Autism Research Team Smart Clinic9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

Locations

118 College Dr
#5017
Hattiesburg, MS 39406
Phone (601) 266-5830

118 College Dr
Ste 5066
Hattiesburg, MS 39406
Phone (601) 266-4075

2899 W 4th St
Hattiesburg, MS 39401
Phone (601) 266-5370

117 Beach Park Pl
Long Beach, MS 39560
Phone (228) 214-3300

Practitioners & affiliated clinicians

Practitioners 19

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1411430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411430400000",
    "number": "1821490723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5050 SPRING VALLEY RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752443995",
            "telephone_number": "800-555-9073",
            "fax_number": "972-367-3452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 COLLEGE DR",
            "address_2": "5017",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394060002",
            "telephone_number": "601-266-5401",
            "fax_number": "601-266-6821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE UNIVERSITY OF SOUTHERN MISSISSIPPI",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-23",
        "last_updated": "2014-09-23",
        "status": "A",
        "authorized_official_last_name": "MCCALL",
        "authorized_official_first_name": "TODD",
        "authorized_official_title_or_position": "HEAD ATHLETICS TRAINER",
        "authorized_official_telephone_number": "601-266-5401"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "USM Sports Medicine and Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hattiesburg, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2014; 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.