Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Alexey Fomin, MD, PHD

Individual provider Internal Medicine Physician · NPI 1700211141

Alexey Fomin, MD, PHD is a Rheumatology in Hattiesburg, Mississippi. Qualified in 2005, 21 years ago. Practices with Hattiesburg Clinic PA, a 530-clinician group and accepts Medicare assignment. Licensed in Kentucky and Mississippi.

Years since qualifying
21
Licensed in
KY, MS
In the registry since
2013
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

104 Millsaps Dr
Hattiesburg, MS 39402-1328
Phone: (601) 288-7500
Fax: (601) 268-5179
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 24153 (MS)
Internal Medicine Physician Taxonomy 207R00000X · Licence 47117 (KY)

Record details

NPI number1700211141
Entity typeIndividual (Type 1)
GenderMale
Credentials MD , PHD
Sole proprietorNo
NPI enumeratedSeptember 4, 2013
Last updated in NPPESJuly 9, 2020
Certification dateJuly 9, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyRHEUMATOLOGY
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Hattiesburg Clinic Pa — 530 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations23 on file with Medicare

Other providers in Hattiesburg