South Mississippi Neurosurgical Services, PLLC
NPI 1104366087ActiveOrganization· Neurological Surgery· Hattiesburg, MS
Neurological Surgery in Hattiesburg, Mississippi, registered in NPPES in February 2017. The authorized official on file is Charles R. Brent, MD, Owner/Physician. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1104366087 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 27, 2017 |
| Last updated in NPPES | Jun 12, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Neurological Surgery Primary | 207T00000X | 09082 | MS |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (MS) |
|---|
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