OrganizationActive
Baptist Memorial Hospital Desoto
NPI 1033155783 · Athletic Trainer · Southaven, MS
Provider details
- NPI number
- 1033155783
- Entity type
- Organization
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Parent organization
- Baptist Memorial Health Care Corp.
- Organization subpart
- Yes
- Authorized official
- Gregory Duckett, Sr Vp/ Clo(901) 227-5233
- License
- AT0300 (MS)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
7601 Southcrest Pkwy
Southaven, MS 38671-4739
Phone: (662) 349-4000
Street-level locationGet directions
Mailing address
350 N Humphreys Blvd
Memphis, TN 38120-2177
Registry dates
- Enumerated
- 2006-06-21
- Last updated
- 2020-10-01
- Certified
- 2020-10-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.