THADDEUS B GAILLARD JR. MD
NPI 1558413807
Obstetrics & Gynecology - Gynecology in Southaven, MS

Active since January 17, 2007
401 SOUTHCREST CIRCLE, SUITE 102, SOUTHAVEN, MS 38671(662) 349-4377(662) 349-4378 Get Directions Write a Review

NPPES record last updated: February 15, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Thaddeus B Gaillard Jr. Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THADDEUS B GAILLARD JR. MD (NPI 1558413807) is an individual gynecology provider in Southaven, Mississippi, licensed in Mississippi (11279) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1558413807
Entity TypeIndividualMale
Primary Taxonomy207VG0400X
Provider Legal NameTHADDEUS B GAILLARD JR.Credential: MD
Location Address401 SOUTHCREST CIRCLE, SUITE 102Southaven, MS 38671
Mailing AddressPo Box 381257Germantown, TN 38183-1257 · (662) 349-4377 · Fax (662) 349-4378
Fax(662) 349-4378
Sole ProprietorNo
Enumeration DateJanuary 17, 2007
Last NPPES UpdateFebruary 15, 2012
NPI 1558413807 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & Gynecology · GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207VG0400X
Licenses Licensed in MS · 11279 Licensed in TN · 15990
Definition

A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee

401 SOUTHCREST CIRCLE, Southaven, MS 38671

Other Identifiers 3

Medicare ID-Type Unspecified3018336TN
Medicaid3018336TN
Medicare UPINA98217

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Surgery
401 SOUTHCREST CIRCLE, SUITE 204
SOUTHAVEN, MS 38671

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Thaddeus Gaillard's NPI number?

The NPI number for Thaddeus Gaillard is 1558413807. It was assigned to this individual provider in the NPPES registry on January 17, 2007.

Where is Thaddeus Gaillard located?

Thaddeus Gaillard practices at 401 Southcrest Circle Suite 102, Southaven, MS 38671. The listed phone number is (662) 349-4377.

What is Thaddeus Gaillard's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecology, with taxonomy code 207VG0400X.

When was this NPI record last updated?

The NPPES record for Thaddeus Gaillard was last updated on February 15, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.