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Baptist Memorial Hospital Desoto

NPI 1033155783ActiveOrganization· Specialist/Technologist, Athletic Trainer· Southaven, MS

Specialist/Technologist, Athletic Trainer in Southaven, Mississippi, registered in NPPES in June 2006, part of Baptist Memorial Health Care Corp. The authorized official on file is Gregory M. Duckett, Sr Vp/ Clo.

Overview

NPI1033155783
StatusActive
Entity typeOrganization (subpart)
Parent organizationBaptist Memorial Health Care Corp.
NPI issuedJun 21, 2006
Last updated in NPPESOct 1, 2020
Certified by providerOct 1, 2020

Specialties and licenses

TaxonomyCodeLicenseState
Specialist/Technologist, Athletic Trainer Primary2255A2300XAT0300MS

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other athletic trainers in Southaven

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