OrganizationActive
Hancock Medical Center
NPI 1356672166 · Family Medicine Physician · Pass Christian, MS
Provider details
- NPI number
- 1356672166
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Donald Wade, Chief Financial Officer(228) 467-8700
- License
- 11217 (MS)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(84/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 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
17000 Kapalama Dr
Pass Christian, MS 39571-9761
Phone: (228) 467-8700
Fax: (228) 467-8799
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 2790
Bay St Louis, MS 39521-2790
Other names (DBA / former)
- Doing business as
- Hancock Medical Walk-In Care
Registry dates
- Enumerated
- 2010-01-18
- Last updated
- 2010-03-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.