MEDICARE: JAMES DEWAYNE CRIPPS ATC LAT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2255A2300X	Athletic Trainer	AT0097	MS

General Provider Information

NPI Number	:	1083475222
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMES DEWAYNE CRIPPS ATC LAT

Provider Business Mailing Address
First Line	:	7735 HIGHWAY 614
Second Line	:
City	:	MOSS POINT
State	:	MS
Zip	:	39562-8249
Country	:	US
Telephone Number	:	228-218-1479
Fax Number	:	228-588-0273

Provider Business Practice Location Address
First Line	:	7001 HIGHWAY 614
Second Line	:
City	:	MOSS POINT
State	:	MS
Zip	:	39562-6483
Country	:	US
Telephone Number	:	228-588-2072
Fax Number	:	228-588-0273

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/16/2024
Last Update Date	:	01/16/2024

Similar Medicare Providers

1801809124 — DR. PATRICK CONRAD MCGUIRE II MD
Practice Location Address:

7001 HIGHWAY 614
MOSS POINT, MS
39562-6483

Practice Phone: 228-588-6622
Practice Fax:

1912359415 — MICHAEL KNOTTS MSN, NP-C
Practice Location Address:

7001 HIGHWAY 614
MOSS POINT, MS
39562-6483

Practice Phone: 228-588-6622
Practice Fax: 228-588-9399

1649990144 — LORI MICHELLE GOODNIGHT FNP-BC
Practice Location Address:

7001 HIGHWAY 614
MOSS POINT, MS
39562-6483

Practice Phone: 228-588-6622
Practice Fax:

1528063260 — DR. DON M HEMBREE D.C.
Practice Location Address:

8820 HWY. 613
MOSS POINT, MS
39562-8102

Practice Phone: 228-475-0676
Practice Fax: 228-475-0678

1477533602 — DR. SEEMA ANIL BADVE MD
Practice Location Address:

8006 HIGHWAY 613
MOSS POINT, MS
39562-8200

Practice Phone: 228-475-1166
Practice Fax: 228-475-9337

1053386920 — MR. STEVE MCMELLON RPH
Practice Location Address:

7100H HIGHWAY 614
MOSS POINT, MS
39562-7395

Practice Phone: 228-588-2888
Practice Fax: 228-588-2890

Directions to “ JAMES DEWAYNE CRIPPS ATC LAT” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.