Nathaniel Nowacki, M.D.
Psychiatry & Neurology, Neurology in Hattiesburg, MS. Individual provider (NPI-1).
NPI number1508201872
StatusActive
Last updated in NPPESAug 30, 2019
Details
- NPI
- 1508201872
- Entity type
- Individual (NPI-1)
- Name
- Nathaniel Nowacki
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- May 1, 2013
- Last updated
- Aug 30, 2019
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - NEUROLOGY
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- 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 |
|---|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology, Neurology | 26713 | MS | Yes |
Practice location
415 S 28th AveHattiesburg, MS 39401-7246
Phone 601-288-4329 · Fax 601-288-3191
Mailing address
415 S 28th AveHattiesburg, MS 39401-7246
Phone 601-288-4329 · Fax 601-288-3191
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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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