NPIMap

Organization Active NPI

Southern Ms Heart Center,PA

  • Cardiovascular Disease Physician
  • Ocean Springs, MS
National Provider Identifier
1982620126
Registry record updated Sep 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
SOUTHERN MS HEART CENTER,PA
Practice address
3704 Bienville Blvd Ste B
Ocean Springs, MS 39564-5710
Phone
(228) 872-4040
Fax
(228) 872-3612
NPI assigned
Jul 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2026

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

Authorized official

Name
Rhonda L Boney
Title
Office Manager
Phone
(228) 872-4040

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X Primary

Addresses

Primary practice location

3704 Bienville Blvd Ste B
Ocean Springs, MS 39564-5710

Mailing address

3704 Bienville Blvd Ste B
Ocean Springs, MS 39564-5710
Phone (228) 762-1002

Other practice location 1

147 Reynoir St Ste 307
Biloxi, MS 39530-4123
Phone (228) 575-8020

Other practice location 2

3616 Hospital St
Pascagoula, MS 39581-4117
Phone (228) 762-1002 ext. 110

Other identifiers 2

IdentifierTypeStateIssuer
CG1009OtherMSRAILROAD MEDICARE GRP NO
09014546MedicaidMN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040401000678 MS Part B Supplier - Clinic/Group Practice 9739171463 Receives reassigned benefits from 17 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Gulfport, MS; Pascagoula, MS; Ocean Springs, MS

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Southern Mississippi Heart Center PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

4300 Hospital St
Ste 102
Pascagoula, MS 39581
Phone (228) 372-8270

Practitioners & affiliated clinicians

Practitioners 16

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 16

NPI Registry JSON

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790208000000",
    "number": "1982620126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3704 BIENVILLE BLVD STE B",
            "city": "OCEAN SPRINGS",
            "state": "MS",
            "postal_code": "395645710",
            "telephone_number": "228-762-1002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3704 BIENVILLE BLVD STE B",
            "city": "OCEAN SPRINGS",
            "state": "MS",
            "postal_code": "395645710",
            "telephone_number": "228-872-4040",
            "fax_number": "228-872-3612"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "147 Reynoir St Ste 307",
            "address_purpose": "LOCATION",
            "city": "Biloxi",
            "state": "MS",
            "postal_code": "395304123",
            "country_code": "US",
            "telephone_number": "228-575-8020",
            "fax_number": "228-875-2387",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3616 Hospital St",
            "address_purpose": "LOCATION",
            "city": "Pascagoula",
            "state": "MS",
            "postal_code": "395814117",
            "country_code": "US",
            "telephone_number": "228-762-1002 x110",
            "fax_number": "228-762-1012",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SOUTHERN MS HEART CENTER,PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-14",
        "last_updated": "2026-09-24",
        "certification_date": "2026-09-24",
        "status": "A",
        "authorized_official_last_name": "BONEY",
        "authorized_official_first_name": "RHONDA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "228-872-4040"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE GRP NO",
            "identifier": "CG1009",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09014546",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocean Springs, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2026; 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.