NPIMap

Individual provider Active NPI

Vanessa Lynn Duncombe, M.D.

  • Family Medicine Physician
  • D'Iberville, MS
National Provider Identifier
1881623650
Registry record updated Jun 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
17641 Issued in MS
Practice address
3920 Promenade Pkwy
Suite a
Diberville, MS 39540-5368
Phone
(228) 456-0173
Fax
(228) 456-0174
NPI assigned
Jul 2, 2006
Last updated
Jun 12, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 17641 MS Primary

Addresses

Primary practice location

3920 Promenade Pkwy
Suite a
Diberville, MS 39540-5368

Mailing address

147 Reynoir St
Suite 203
Biloxi, MS 39530-4109
Phone (228) 435-6505

Other identifiers 1

IdentifierTypeStateIssuer
00125820MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040129000075 MS Practitioner - Family Practice 4789587601 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Arkansas College of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Memorial Hospital at GulfportGroup PAC ID 2466524012, 473 clinicians

Practice addresses (Care Compare)

12261 Hwy 49
Gulfport, MS 39503-2975
Phone (228) 867-5185

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Hospital at Gulfport Current Accepting new patients
Memorial Hospital at Gulfport CurrentSince Nov 26, 2019 Accepting new patients
University of Arkansas for Medical Sciences Family Medicine Past Accepting new patients
Painstop Spine Clinic, LLC Family Medicine PastSince Jan 1, 2012 Accepting new patients
Memorial Hospital at Gulfport Past Accepting new patients
Medical Assurance LLC Past Accepting new patients
Painstop Spine Clinic, LLC Family Medicine Past Accepting new patients
Washington Regional Medical System Past Accepting new patients
University of Arkansas for Medical Sciences Family Medicine Past Accepting new patients

Locations

147 Reynoir St
Ste 306
Biloxi, MS 39530
Phone (228) 432-1116

3920 Promenade Pkwy
Ste A
Diberville, MS 39540
Phone (228) 456-0173

12261 Highway 49
Ste 11
Gulfport, MS 39503
Phone (228) 575-2176

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

Interoperability endpoints

  • Direct secure messaging: vduncombe@direct.mhg.com

Organizations & group practices 10

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

Hospital & facility affiliations 64

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

View all 64

NPI Registry JSON

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

{
    "created_epoch": "1151798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718150400000",
    "number": "1881623650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "147 REYNOIR ST",
            "address_2": "SUITE 203",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "395304109",
            "telephone_number": "228-435-6505",
            "fax_number": "228-436-1666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3920 PROMENADE PKWY",
            "address_2": "SUITE A",
            "city": "DIBERVILLE",
            "state": "MS",
            "postal_code": "395405368",
            "telephone_number": "228-456-0173",
            "fax_number": "228-456-0174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNCOMBE",
        "first_name": "VANESSA",
        "middle_name": "LYNN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-02",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MS",
            "license": "17641",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00125820",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in D'Iberville, MS

Sources for this page

Verify at the official NPI Registry.