Active NPI
Sam Saliba Dabit, D.O.
- Internal Medicine Physician
- Hattiesburg, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- T-3100
- Practice address
- 5001 Hardy St
Hattiesburg, MS 39402-1308 - Phone
- (601) 296-2090
- Fax
- (601) 296-2089
- NPI assigned
- Apr 26, 2016
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 7
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.
-
- Rural Health Clinic/Center
- Laurel, MS
- NPI 1033903547
-
- Rural Health Clinic/Center
- Laurel, MS
- NPI 1316975394
-
- Rural Health Clinic/Center
- Laurel, MS
- NPI 1669609111
-
- Rural Health Clinic/Center
- Laurel, MS
- NPI 1861037749
-
- Rural Health Clinic/Center
- Ellisville, MS
- NPI 1427098003
-
- General Acute Care Hospital
- Laurel, MS
- NPI 1619973542
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Laurel, MS
- NPI 1619973542
Hospital
-
- General Acute Care Hospital
- Jackson, MS
- NPI 1154317527
Hospital
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- William Carey University College of Osteopathic Medicine, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- South Central Clinics, Inc
Practice addresses (Care Compare)
1002 Jefferson St
Laurel, MS 39440-4306
1203 Ave B
Ellisville, MS 39437-2080
Phone (601) 477-2226
1220 Jefferson St
Laurel, MS 39440-4355
Phone (601) 399-6169
Hospital & facility affiliations
- Heart of Hospice, LLC - Southern
- South Central Reg Med Ctr
- Jasper General Hospital
- Forrest General Hospital
- Covington County Hospital Cah
- University of Mississippi Med Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.07 of 100
- Quality
- 73.89
- Promoting interoperability
- 100
- Improvement activities
- 40
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: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190930002037 | MS | Practitioner - Internal Medicine | 3870889587 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| T-3100 | MS | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Central Clinics, Inc | Current | Accepting new patients | |
| South Central Clinics, Inc | Current | Accepting new patients | |
| South Central Regional Medical Center | Past | Accepting new patients |
Locations
1203 B Ave
Ellisville, MS 39437
Phone (601) 477-8553
1203 Jefferson St
Laurel, MS 39440
Phone (601) 579-5488
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | T-3100 | MS | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
5001 Hardy St
Hattiesburg, MS 39402-1308
Mailing address
5035 Meadow Oaks Park Dr
Jackson, MS 39211-4816
Other identifiers 2
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 26847 | Other | MS | MEDICAL LICENSE |
| 00255594 | Medicaid | MS |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 9, 2019.
{
"created_epoch": "1461628800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1570579200000",
"number": "1851746044",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5035 MEADOW OAKS PARK DR",
"city": "JACKSON",
"state": "MS",
"postal_code": "392114816"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5001 HARDY ST",
"city": "HATTIESBURG",
"state": "MS",
"postal_code": "394021308",
"telephone_number": "601-296-2090",
"fax_number": "601-296-2089"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DABIT",
"first_name": "SAM",
"middle_name": "SALIBA",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-04-26",
"last_updated": "2019-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MS",
"license": "T-3100",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "26847",
"state": "MS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00255594",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
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 Oct 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.