Biloxi Hma Physician Management, LLC
Internal Medicine in Biloxi, MS. Organization (NPI-2).
Details
- NPI
- 1083971626
- Entity type
- Organization (NPI-2)
- Legal business name
- Biloxi Hma Physician Management, LLC
- Organization subpart
- Yes
- Enumeration date
- Apr 20, 2012
- Certification date
- Jan 24, 2022
- Last updated
- Jan 24, 2022
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | – | – | Yes |
Other names
- Internal Medicine At Cedar Lake (Doing Business As)
Practice location
967 Cedar Lake RdSuite B
Biloxi, MS 39532-2128
Phone 228-392-7760 · Fax 228-392-7646
Mailing address
4000 Meridian BlvdFranklin, TN 37067-6325
Phone 615-465-7000 · Fax 615-628-6877
Authorized official
Jennifer L Jackson
Sr. Dir Prov Enroll Onboarding
8778929815
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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