WESLEY PHYSICIAN SERVICES LLC NPI 1538200209

NPI Information

NPI: 1538200209
Provider Name: WESLEY PHYSICIAN SERVICES LLC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 25D0959912

Address:
5001 HARDY ST
HATTIESBURG, MS
ZIP 39402
Phone: (601) 268-8155
Get Directions

WESLEY PHYSICIAN SERVICES LLC is a family medicine in Hattiesburg, MS. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. WESLEY PHYSICIAN SERVICES LLC NPI is 1538200209. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

5001 HARDY ST
HATTIESBURG, MS
ZIP 39402-308
Phone: (601) 268-8155
Fax: (601) 261-0508

The provider's authorized official is Brian Peoples .
The authorized official title is Vice-president and has the following contact phone number (615) 465-7585.

The CLIA number assigned to this NPI record is 25D0959912 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/8/2007 and was last updated on 10/1/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	207RI0011X	Internal Medicine	Interventional Cardiology	No
2	101YP2500X	Counselor	Professional	No
3	207R00000X	Internal Medicine		No
4	208000000X	Pediatrics		No
5	207QA0401X	Family Medicine	Addiction Medicine	No
6	2084F0202X	Psychiatry & Neurology	Forensic Psychiatry	No
7	207RC0000X	Internal Medicine	Cardiovascular Disease	No
8	103T00000X	Psychologist		No
9	104100000X	Social Worker		No
10	1041C0700X	Social Worker	Clinical	No
11	208G00000X	Thoracic Surgery (Cardiothoracic Vascular Surgery)		No
12	207T00000X	Neurological Surgery		No
13	2080A0000X	Pediatrics	Adolescent Medicine	No
14	207UN0901X	Nuclear Medicine	Nuclear Cardiology	No
15	207Q00000X	Family Medicine		Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	02606764	MEDICAID	MISSISSIPPI
2	03277572	MEDICAID	MISSISSIPPI
3	04727870	MEDICAID	MISSISSIPPI
4	07687071	MEDICAID	MISSISSIPPI
5	01080271	MEDICAID	MISSISSIPPI
6	01726273	MEDICAID	MISSISSIPPI
7	C03761	MEDICARE PIN	MISSISSIPPI
8	09236762	MEDICAID	MISSISSIPPI
9	09776308	MEDICAID	MISSISSIPPI
10	06827312	MEDICAID	MISSISSIPPI
11	08883556	MEDICAID	MISSISSIPPI
12	02639565	MEDICAID	MISSISSIPPI
13	01505019	MEDICAID	MISSISSIPPI
14	05925779	MEDICAID	MISSISSIPPI
15	07236720	MEDICAID	MISSISSIPPI
16	02706278	MEDICAID	MISSISSIPPI
17	06476518	MEDICAID	MISSISSIPPI
18	08955318	MEDICAID	MISSISSIPPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

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