CARDIOVASCULAR INSTITUTE OF MISSISSIPPI – NPI #1124077581
Surgery

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

CARDIOVASCULAR INSTITUTE OF MISSISSIPPI is a surgeon located in MCCOMB, MS. NPPES has assigned the NPI number 1124077581 to CARDIOVASCULAR INSTITUTE OF MISSISSIPPI on May 10, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “CARDIOVASCULAR INSTITUTE OF MISSISSIPPI” is a dba name, the actual legal business name for this organization is SOUTHWEST MISSISSIPPI REGIONAL MEDICAL CENTER. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 2086S0129X from the Health Care Provider Taxonomy code set, which is classified as Surgery, specializing in Vascular Surgery

The NPI profile was previously updated about 6 years ago on Nov 06, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CARDIOVASCULAR INSTITUTE OF MISSISSIPPI below.

NPI Profile for
SOUTHWEST MISSISSIPPI REGIONAL MEDICAL CENTER

NPI Number
1124077581
Enumeration Date

(more than 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
SOUTHWEST MISSISSIPPI REGIONAL MEDICAL CENTER
Doing Business As (dba): CARDIOVASCULAR INSTITUTE OF MISSISSIPPI
Primary location
303 MARION AVE
MCCOMB, MS 39648-2707
Phone: (601) 249-1350 Fax: (601) 249-1339
Mailing address
PO BOX 490
MCCOMB, MS 39649-0490
Phone: (601) 249-2701 Fax: (601) 249-2195
Organization Subpart
No
Authorized Official
CHARLA ROWLEY
CEO
Phone: (601) 249-1806
Updated
Certification Date
Nov 06, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for CARDIOVASCULAR INSTITUTE OF MISSISSIPPI

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDMS09015786
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2086S0129X
- Surgery / Vascular Surgery (Primary)
207RC0000X
- Internal Medicine / Cardiovascular Disease

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.