1. Home
  2. Directory
  3. Mississippi
  4. Diberville
  5. Clinic Center
  6. NPI Profile

DIBERVILLE MEDICAL SPA
NPI 1861766289
Clinic/Center in Diberville, MS

Active since March 02, 2012
3661 SANGANI BLVD, SUITE C, DIBERVILLE, MS 39540(228) 223-1927 Get Directions Write a Review

NPPES record last updated: March 2, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Diberville Medical Spa NPPES

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

DIBERVILLE MEDICAL SPA (NPI 1861766289) is a healthcare organization registered as a clinic/center in Diberville, Mississippi and active in the NPI registry since March 2012. The organization lists Ronnie Ali, President, as its authorized official.

NPPES Registry Identity

NPI1861766289
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameDIBERVILLE MEDICAL SPA
Location Address3661 SANGANI BLVD, SUITE CDiberville, MS 39540-8706
Mailing AddressPo Box 1248Ocean Springs, MS 39566-1248 · (228) 223-1927
Phone(228) 223-1927
Organization SubpartNo
Authorized OfficialRonnie AliPresident · (228) 223-1927
Enumeration DateMarch 2, 2012
✔ NPI 1861766289 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
3661 SANGANI BLVD, Diberville, MS 39540
Open in Google Maps ↗

Other Providers at the Same Location NPPES 4

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

MILTON EDUARDO TORRES CABAN DMD
Dentist (General Practice)
3661 SANGANI BLVD
DIBERVILLE, MS 39540
Harrison County (228) 456-3197
DR. DOAN KHANH TRAN D.M.D
Dentist (General Practice)
3661 SANGANI BLVD
DIBERVILLE, MS 39540
Harrison County (228) 269-0175
MAGAN GILBERT FNP
Nurse Practitioner (Family)
3661 SANGANI BLVD
DIBERVILLE, MS 39540
Harrison County (228) 263-1358
SOUTH MISSISSIPPI URGENT CARE
Clinic/Center (Urgent Care)
3661 SANGANI BLVD, SUITE E
DLBERVILLE, MS 39540
Harrison County (228) 354-0022

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 Diberville Medical Spa's NPI number?

The NPI number for Diberville Medical Spa is 1861766289. It was assigned to this organization in the NPPES registry on March 2, 2012.

Where is Diberville Medical Spa located?

Diberville Medical Spa is located at 3661 Sangani Blvd Suite C, Diberville, MS 39540. The listed phone number is (228) 223-1927.

What is Diberville Medical Spa's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Diberville Medical Spa was last updated on March 2, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.