NPIMap

Organization Active NPI

Oceans Mississippi Medical Group LLC

  • Geriatric Psychiatry Physician
  • Biloxi, MS
National Provider Identifier
1932679958
Registry record updated Jun 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Psychiatry PhysicianTaxonomy code 2084P0805X
Legal business name
OCEANS MISSISSIPPI MEDICAL GROUP LLC
Practice address
152 Gateway Dr
Biloxi, MS 39531-4409
Phone
(337) 210-4477
NPI assigned
Dec 3, 2018
Last updated
Jun 1, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2023

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

Authorized official

Name
Mrs. Laura F. Tarantino
Title
Evp, General Counsel
Phone
(972) 464-0022

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Psychiatry Physician 2084P0805X Primary

Addresses

Primary practice location

152 Gateway Dr
Biloxi, MS 39531-4409

Mailing address

3905 Hedgcoxe Rd Unit 250249
Plano, TX 75025-0840
Phone (972) 464-0022

Other practice location 1

150 Reynoir St
Biloxi, MS 39530-4130
Phone (228) 388-0691

Other practice location 2

180 Debuys Rd
Biloxi, MS 39531-4402
Phone (972) 464-0022

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190607001139 MS Part B Supplier - Clinic/Group Practice 9830422716 Receives reassigned benefits from 14 practitioners
Practice locations: Biloxi, MS; Jackson, MS

National Provider Directory

National Provider Directory

Locations

2969 Curran Dr N
#A
Jackson, MS 39216
Phone (601) 714-8141

Practitioners & affiliated clinicians

Practitioners 14

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 14

NPI Registry JSON

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

{
    "created_epoch": "1543795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685577600000",
    "number": "1932679958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3905 HEDGCOXE RD UNIT 250249",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750250840",
            "telephone_number": "972-464-0022",
            "fax_number": "972-464-0021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "152 GATEWAY DR",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "395314409",
            "telephone_number": "337-210-4477"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "150 Reynoir St",
            "address_purpose": "LOCATION",
            "city": "Biloxi",
            "state": "MS",
            "postal_code": "395304130",
            "country_code": "US",
            "telephone_number": "228-388-0691",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "180 Debuys Rd",
            "address_purpose": "LOCATION",
            "city": "Biloxi",
            "state": "MS",
            "postal_code": "395314402",
            "country_code": "US",
            "telephone_number": "972-464-0022",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "OCEANS MISSISSIPPI MEDICAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-03",
        "last_updated": "2023-06-01",
        "certification_date": "2023-06-01",
        "status": "A",
        "authorized_official_last_name": "TARANTINO",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "EVP, GENERAL COUNSEL",
        "authorized_official_telephone_number": "972-464-0022",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "2084P0805X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Biloxi, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.