Mississippi Doctors Group LLC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Legal business name

MISSISSIPPI DOCTORS GROUP LLC

Practice address

13251 Reece Bergeron Rd
Biloxi, MS 39532-7557

Phone

(561) 251-6120

NPI assigned

Aug 15, 2017

Last updated

Aug 15, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sandi Barnes

Title

Ceo

Phone

(561) 324-2140

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1502755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1502755200000",
    "number": "1942726658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3375 BURNS RD",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334104349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13251 REECE BERGERON RD",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "395327557",
            "telephone_number": "561-251-6120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSISSIPPI DOCTORS GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-15",
        "last_updated": "2017-08-15",
        "status": "A",
        "authorized_official_last_name": "BARNES",
        "authorized_official_first_name": "SANDI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "561-324-2140"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Casey Quinn Johnson Mino, PHARM.D
• Mino's Pharmacy Inc. (Woolmarket Pharmacy)
• Mino's Pharmacy Inc. (Woolmarket Pharmacy LTC)
• Vanessa Mirasol, DPM
• Mississippi Department Health
• Mississippi Drug and Alcohol Treatment Center LLC
• Mississippi Em-1 Medical Services, PC
• Mississippi Hma DME, LLC (CarePlus Home Medical Biloxi)
• Mississippi Methodist Hospital & Rehabilitation Center, Inc (Methodist Rehab Center)
• Mississippi Orthopaedic Institute

• Addiction (Substance Use Disorder) Counselor in Biloxi, MS
• Providers in Biloxi, MS by specialty
• Addiction (Substance Use Disorder) Counselor in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2017; 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.