Active NPI 1265727465 Individual Practitioner Male Practitioner

Dr. Jonathan Dwaine Brown , MD

Orthopaedic Surgery • Biloxi, MS

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Jonathan Brown, MD is a certified Orthopaedic Surgery practicing in Biloxi, MS. With approximately 15 years of clinical experience since graduating from University Of Mississippi School Of Medicine in 2011, Dr. Brown delivers high-quality medical care to the local community at 1720A MEDICAL PARK DR STE 220.

Dr. Brown is affiliated with Bienville Orthopaedic Specialists, Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include injection, triamcinolone acetonide, not otherwise specified, 10 mg, established patient outpatient office visit, aspiration and/or injection of fluid from large joint. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1720a Medical Park Dr Ste 220

Biloxi, MS 395322127

Telephone 2282302663

Fax 2285463257

Associated Practice Facility / Clinic

🏢 Bienville Orthopaedic Specialists Llc Facility NPI 1316366503

Medicare Profile & Education

Medical School

University Of Mississippi School Of Medicine

Graduation Year

2011

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Biloxi, MS

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

15 Yrs -14.3 yrs vs City Avg

City Avg: 29.3 Yrs

State Avg: 26.6 Yrs

Regional Practice Density

9 Specialists

Practicing in Biloxi, MS (216 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

73.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Brown (15 Years) 15 Yrs

Biloxi Specialty Average (29.3 Years) 29.3 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	980	145	$6.00	$0.96
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	183	131	$386.00	$113.33
20610 Aspiration and/or injection of fluid from large joint	158	115	$369.43	$64.59
99213 Established patient office or other outpatient visit, typically 15 minutes	156	121	$273.00	$80.95
73564 X-ray of knee, 4 or more views	74	58	$143.00	$39.24
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	71	71	$503.00	$148.22
73030 X-ray of shoulder, minimum of 2 views	67	58	$106.00	$29.37
73010 X-ray of shoulder blade	51	48	$72.00	$20.25
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	35	26	$572.19	$97.14
73502 X-ray of hip, 2-3 views	32	27	$144.00	$36.64
73110 X-ray of wrist, minimum of 3 views	27	15	$125.00	$35.37
73080 X-ray of elbow, minimum of 3 views	27	15	$100.00	$26.81
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	20	20	$339.00	$100.67
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	18	17	$171.00	$50.57
73130 X-ray of hand, minimum of 3 views	18	12	$113.00	$32.03
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	11	11	$392.00	$119.36

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	264	136	$22.64	$1.07
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	200	148	$286.93	$114.32
20610 Aspiration and/or injection of fluid from large joint	165	119	$325.16	$61.81
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes	149	41	$108.55	$21.45
99213 Established patient office or other outpatient visit, typically 15 minutes	106	95	$193.49	$79.99
97530 Therapy procedure using functional activities	89	33	$115.66	$30.05
73030 X-ray of shoulder, minimum of 2 views	74	59	$115.59	$30.25
73564 X-ray of knee, 4 or more views	69	59	$144.88	$40.20
73562 X-ray of knee, 3 views	57	54	$125.95	$34.25
73010 X-ray of shoulder blade	56	48	$101.46	$20.85
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	54	54	$442.20	$147.91
73502 X-ray of hip, 2-3 views	34	28	$128.12	$39.39
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	27	27	$283.00	$99.42
73610 X-ray of ankle, minimum of 3 views	22	15	$115.59	$30.73
97140 Therapy procedure using manual technique, each 15 minutes	21	11	$102.71	$19.81
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	18	15	$600.33	$89.42
73130 X-ray of hand, minimum of 3 views	16	12	$108.00	$32.25
99221 Initial hospital inpatient care per day, typically 30 minutes	14	14	$275.00	$76.65
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	14	14	$378.00	$121.07
97162 Evaluation for physical therapy, typically 30 minutes	13	13	$304.00	$85.31

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	279	200	$282.00	$115.19
20610 Aspiration and/or injection of fluid from large joint	215	161	$327.80	$63.43
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	212	147	$28.84	$1.12
99213 Established patient office or other outpatient visit, typically 15 minutes	174	141	$187.55	$82.33
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	113	113	$283.00	$101.68
73030 X-ray of shoulder, minimum of 2 views	111	90	$115.32	$29.11
73564 X-ray of knee, 4 or more views	109	83	$145.00	$40.72
J1040 Injection, methylprednisolone acetate, 80 mg	86	71	$34.00	$11.60
73010 X-ray of shoulder blade	82	72	$102.00	$20.12
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes	77	29	$108.00	$23.59
73562 X-ray of knee, 3 views	66	63	$126.00	$35.71
99221 Initial hospital inpatient care per day, typically 30 minutes	47	47	$279.89	$93.17
73502 X-ray of hip, 2-3 views	43	37	$125.09	$39.39
73130 X-ray of hand, minimum of 3 views	37	28	$108.00	$32.23
73560 X-ray of knee, 1-2 views	32	18	$109.00	$27.82
73610 X-ray of ankle, minimum of 3 views	27	17	$116.00	$32.55
73110 X-ray of wrist, minimum of 3 views	20	13	$141.00	$36.06
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	19	17	$612.00	$90.53
J7326 Hyaluronan or derivative, gel-one, for intra-articular injection, per dose	16	14	$2145.00	$1075.01
73630 X-ray of foot, minimum of 3 views	16	13	$116.00	$30.55
73080 X-ray of elbow, minimum of 3 views	16	15	$201.00	$25.69
20550 Injection into tendon or ligament	15	15	$213.00	$48.07

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1040 Injection, methylprednisolone acetate, 80 mg	268	167	$34.00	$10.49
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	259	179	$282.00	$117.31
20610 Aspiration and/or injection of fluid from large joint	223	150	$323.28	$61.70
99213 Established patient office or other outpatient visit, typically 15 minutes	193	153	$187.00	$82.95
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes	183	65	$108.00	$23.12
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	122	122	$283.00	$101.57
73030 X-ray of shoulder, minimum of 2 views	112	92	$116.00	$28.98
73564 X-ray of knee, 4 or more views	108	85	$145.00	$39.45
73562 X-ray of knee, 3 views	81	75	$126.00	$34.35
97530 Therapy procedure using functional activities	80	43	$114.00	$34.89
73010 X-ray of shoulder blade	80	72	$102.00	$20.38
73502 X-ray of hip, 2-3 views	44	35	$129.00	$36.41
99221 Initial hospital inpatient care per day, typically 30 minutes	39	39	$275.00	$94.59
73610 X-ray of ankle, minimum of 3 views	35	20	$116.00	$31.33
73110 X-ray of wrist, minimum of 3 views	30	18	$141.00	$35.49
73560 X-ray of knee, 1-2 views	29	24	$109.00	$29.10
73630 X-ray of foot, minimum of 3 views	27	22	$116.00	$30.20
73130 X-ray of hand, minimum of 3 views	24	15	$108.00	$31.96
J7326 Hyaluronan or derivative, gel-one, for intra-articular injection, per dose	23	16	$2145.00	$1219.00
72110 X-ray of lower and sacral spine, minimum of 4 views	22	22	$261.00	$43.29
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	21	16	$612.00	$90.37
97032 Application of electrical stimulation with therapist present, each 15 minutes	20	11	$62.00	$10.88
20550 Injection into tendon or ligament	15	15	$213.00	$44.88
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	15	15	$2732.00	$163.15
27447 Replacement of knee joint, both sides of knee	15	15	$6503.00	$1196.94
23430 Anchoring of biceps tendon	13	13	$2857.00	$398.43
29824 Partial removal of collar bone at shoulder using an endoscope	13	13	$2429.00	$200.60
29827 Repair of shoulder rotator cuff using an endoscope	13	13	$4012.00	$994.81
27236 Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement	12	12	$4330.00	$1109.97

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1040 Injection, methylprednisolone acetate, 80 mg	285	171	$34.00	$11.38
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	275	202	$282.01	$96.78
99213 Established patient office or other outpatient visit, typically 15 minutes	260	193	$187.00	$67.73
20610 Aspiration and/or injection of fluid from large joint	256	159	$345.71	$64.34
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes	148	60	$108.00	$23.35
73030 X-ray of shoulder, minimum of 2 views	123	90	$114.17	$28.01
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	121	121	$283.00	$98.07
73564 X-ray of knee, 4 or more views	91	73	$145.00	$37.96
73562 X-ray of knee, 3 views	75	63	$126.00	$33.47
73010 X-ray of shoulder blade	73	64	$101.10	$24.08
97530 Therapy procedure using functional activities	57	33	$114.00	$35.06
J7326 Hyaluronan or derivative, gel-one, for intra-articular injection, per dose	48	33	$2145.00	$1160.56
73502 X-ray of hip, 2-3 views	48	35	$123.75	$38.17
73560 X-ray of knee, 1-2 views	45	27	$105.84	$28.12
99221 Initial hospital inpatient care per day, typically 30 minutes	38	38	$275.00	$96.24
73110 X-ray of wrist, minimum of 3 views	33	21	$141.00	$33.16
73130 X-ray of hand, minimum of 3 views	32	19	$108.00	$30.81
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	31	20	$25.71	$1.34
73080 X-ray of elbow, minimum of 3 views	30	24	$201.00	$27.39
73630 X-ray of foot, minimum of 3 views	28	17	$116.00	$28.13
73610 X-ray of ankle, minimum of 3 views	28	16	$113.32	$30.01
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	25	17	$612.00	$84.83
72110 X-ray of lower and sacral spine, minimum of 4 views	16	16	$261.00	$42.99
20550 Injection into tendon or ligament	12	11	$213.00	$42.39
27245 Treatment of broken neck of thigh bone with bone implant	11	11	$5230.00	$1058.90

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes	323	95	$108.00	$19.56
J1040 Injection, methylprednisolone acetate, 80 mg	276	194	$34.00	$12.01
99213 Established patient office or other outpatient visit, typically 15 minutes	236	176	$187.00	$67.27
20610 Aspiration and/or injection of fluid from large joint	224	162	$311.03	$58.62
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	222	176	$282.02	$98.68
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	197	197	$283.00	$97.05
97530 Therapy procedure using functional activities	135	66	$114.00	$31.26
73030 X-ray of shoulder, minimum of 2 views	114	83	$111.39	$24.94
73564 X-ray of knee, 4 or more views	98	78	$145.00	$36.38
73110 X-ray of wrist, minimum of 3 views	82	38	$141.00	$31.77
73010 X-ray of shoulder blade	67	62	$102.00	$27.38
73562 X-ray of knee, 3 views	63	61	$126.00	$32.35
73502 X-ray of hip, 2-3 views	54	38	$110.33	$31.97
99221 Initial hospital inpatient care per day, typically 30 minutes	50	50	$277.04	$93.72
73130 X-ray of hand, minimum of 3 views	43	31	$108.00	$29.44
73610 X-ray of ankle, minimum of 3 views	39	19	$110.23	$27.82
73560 X-ray of knee, 1-2 views	30	18	$106.63	$27.78
73080 X-ray of elbow, minimum of 3 views	27	21	$201.00	$25.73
73630 X-ray of foot, minimum of 3 views	26	20	$113.12	$25.24
20550 Injection into tendon or ligament	23	19	$213.00	$46.38
97032 Application of electrical stimulation with therapist present, each 15 minutes	21	13	$62.00	$11.46
J7326 Hyaluronan or derivative, gel-one, for intra-articular injection, per dose	16	13	$2145.00	$1040.95
72110 X-ray of lower and sacral spine, minimum of 4 views	16	16	$261.00	$45.32
20605 Aspiration and/or injection of medium joint or joint capsule	14	13	$228.21	$47.79
27236 Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement	12	12	$4330.00	$1083.40
97165 Evaluation for occupational therapy, typically 30 minutes	12	11	$256.00	$73.47
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	12	12	$115.00	$40.69

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7325 Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg	1,104	17	$34.00	$11.70
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes	300	94	$108.00	$21.85
99213 Established patient office or other outpatient visit, typically 15 minutes	281	182	$187.36	$65.27
J1040 Injection, methylprednisolone acetate, 80 mg	203	126	$34.00	$12.81
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	174	126	$282.01	$97.32
20610 Aspiration and/or injection of fluid from large joint	161	102	$272.34	$57.38
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	149	149	$283.00	$95.55
97530 Therapy procedure using functional activities	116	52	$114.00	$32.12
73110 X-ray of wrist, minimum of 3 views	87	29	$141.00	$30.46
73030 X-ray of shoulder, minimum of 2 views	77	44	$114.05	$25.21
73610 X-ray of ankle, minimum of 3 views	72	34	$109.75	$25.83
73564 X-ray of knee, 4 or more views	70	55	$145.00	$34.64
73630 X-ray of foot, minimum of 3 views	57	34	$114.68	$24.45
73502 X-ray of hip, 2-3 views	54	35	$108.78	$29.99
73562 X-ray of knee, 3 views	44	44	$126.00	$31.13
73010 X-ray of shoulder blade	40	33	$102.00	$26.52
72110 X-ray of lower and sacral spine, minimum of 4 views	34	33	$261.00	$41.95
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	27	21	$216.11	$67.02
73130 X-ray of hand, minimum of 3 views	26	23	$106.54	$26.36
73080 X-ray of elbow, minimum of 3 views	23	11	$195.30	$26.58
97140 Therapy procedure using manual technique, each 15 minutes	20	15	$101.00	$18.94
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	19	19	$376.53	$125.54
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	18	16	$115.00	$36.91
27245 Treatment of broken neck of thigh bone with bone implant	18	18	$5230.00	$1078.32
97032 Application of electrical stimulation with therapist present, each 15 minutes	16	14	$62.00	$11.02
20550 Injection into tendon or ligament	16	14	$213.00	$44.74
99221 Initial hospital inpatient care per day, typically 30 minutes	15	15	$275.00	$92.42
73560 X-ray of knee, 1-2 views	12	11	$109.00	$27.13

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	64	64	$281.55	$95.26
J1040 Injection, methylprednisolone acetate, 80 mg	46	35	$34.00	$11.90
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	41	36	$282.05	$95.01
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes	40	17	$108.00	$20.19
99213 Established patient office or other outpatient visit, typically 15 minutes	36	33	$185.89	$64.98
20610 Aspiration and/or injection of fluid from large joint	35	32	$284.11	$57.01
73110 X-ray of wrist, minimum of 3 views	30	13	$141.00	$30.16
73630 X-ray of foot, minimum of 3 views	24	19	$112.88	$24.12
73560 X-ray of knee, 1-2 views	19	11	$97.79	$23.34
73030 X-ray of shoulder, minimum of 2 views	16	14	$116.00	$24.86
73010 X-ray of shoulder blade	14	12	$102.00	$25.72
Q4010 Cast supplies, short arm cast, adult (11 years +), fiberglass	12	11	$48.00	$19.07

Medical Specialties & State Licenses

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License MS 24921

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Orthopaedic Surgery - Sports Medicine

NUCC Taxonomy Code: 207XX0005X

State License MS 24921

An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.

Hospital & Practice Group Affiliations

Bienville Orthopaedic Specialists, Llc

1720 A Medical Park Dr, Biloxi, MS 395322127

Phone: 2283929355

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners

Kristina Garlotte , FNP-C

Nurse Practitioner

NPI 1033704457

Family Nurse Practitioner (Certified)

Dr. Matthew Blanchard , MD

Pain Medicine - Interventional Pain Medicine

NPI 1043741705

Doctor of Medicine (M.D.)

Samantha Pierce , OTR, L

Occupational Therapist - Hand

NPI 1043812225

Occupational Therapist Registered, L

Haley Griffin , FNP-C

Nurse Practitioner - Family

NPI 1063360667

Family Nurse Practitioner (Certified)

Ashley Johnson , PA

Physician Assistant

NPI 1083037626

Physician Assistant

Dr. Charles Winters , MD

Orthopaedic Surgery

NPI 1093733172

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

14 Historical Events

📍

Updated Practice Location September 12, 2018

Registered at 1720A MEDICAL PARK DR STE 220, BILOXI, MS 395322127 (Tel: 2282302663)

📍

Updated Practice Location August 31, 2018

Registered at 6300 E LAKE BLVD STE 301, VANCLEAVE, MS 39565 (Tel: (228) 230-2663)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 31, 2018

Orthopaedic Surgery (License #24921 in MS)

✅

NPI Profile Active September 07, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location September 07, 2017

Registered at 6300 E LAKE BLVD STE 301, VANCLEAVE, MS 395656771 (Tel: (228) 230-2663)

📍

Updated Business Mailing Address September 07, 2017

Registered at 6300 EAST LAKE BLVD., SUITE 301, VANCLEAVE, MS 395656771 (Tel: (228) 230-2663)

👤

Provider Name / Credentials Updated September 07, 2017

Recorded as JONATHAN BROWN, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 07, 2017

Orthopaedic Surgery (License #24921 in MS)

✅

NPI Profile Active July 05, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location July 05, 2016

Registered at 1501 MAPLE AVE, SUITE 200, RICHMOND, VA 232262553 (Tel: 8042852300)

📍

Updated Business Mailing Address July 05, 2016

Registered at PO BOX 71690, RICHMOND, VA 232551690 (Tel: 8042852300)

👤

Provider Name / Credentials Updated July 05, 2016

Recorded as JONATHAN BROWN, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 05, 2016

Orthopaedic Surgery (License #0101260031 in VA)

🟢

Initial NPI Registration & Enumeration June 15, 2011

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1265727465

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: June 15, 2011

Last Update: September 12, 2018

Sole Proprietor: No

Update or Correct Profile

Mailing Address

6300 East Lake Blvd., Suite 301

Vancleave, MS 395656771

Phone: 2282302663

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.