MEMORIAL HOSPITAL AT GULFPORT
NPI 1881021350
Family Medicine in Long Beach, MS
NPI Status: Active since September 30, 2013
Contact Information
5120 BEATLINE RD
LONG BEACH, MS
ZIP 39560
Phone: (228) 868-4287
Fax: (228) 868-4293
- Organization
- Family Medicine
- Accepts Insurance
- CLIA Number: 25D0693843
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 04-01-2027
About MEMORIAL HOSPITAL AT GULFPORT
This page provides the complete NPI Profile along with additional information for Memorial Hospital At Gulfport, a primary care provider established in Long Beach, Mississippi operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1881021350 assigned on September 2013. The practitioner's primary taxonomy code is 207Q00000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. Memorial Hospital At Gulfport operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Peggy Lorraine Noonan Bs, Cpc (Physician Business Services Dir.)
- NPI
- 1881021350
- Provider Name
- MEMORIAL HOSPITAL AT GULFPORT
- Entity Type
- Organization
- Location Address
- 5120 BEATLINE RD LONG BEACH, MS 39560
- Location Phone
- (228) 868-4287
- Location Fax
- (228) 868-4293
- Mailing Address
- PO BOX 1810 GULFPORT, MS 39502
- Mailing Phone
- (228) 575-1700
- Mailing Fax
- (228) 868-4293
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 09-30-2013
- Last Update Date
- 01-09-2024
- Code Navigator
A primary care provider (PCP) like Memorial Hospital At Gulfport sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Family Medicine
- Taxonomy Code
- 207Q00000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207R00000X | Allopathic & Osteopathic Physicians | Internal Medicine | |
| 2 | 363L00000X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Choice Bronze HSA (QualChoice) - POS
- Complete Gold - PPO
- Complete Gold + Vision + Adult Dental - PPO
- Complete Silver (QualChoice) - POS
- Connected Silver - PPO
- Connected Silver (QualChoice) - POS
- Connected Silver (QualChoiceLife) - PPO
- Connected Silver + Vision + Adult Dental - PPO
- Elite Bronze - PPO
- Elite Bronze + Vision + Adult Dental - PPO
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Elite Gold - EPO
- Elite Gold + Vision + Adult Dental - EPO
- Elite Silver - EPO
- Elite Silver + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Choice Bronze HSA - HMO
- Choice Bronze HSA + Vision + Adult Dental - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Complete Silver - HMO
- Complete Silver + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Everyday Gold - HMO
- Everyday Gold + Vision + Adult Dental - HMO
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Elite Gold - EPO
- Elite Gold + Vision + Adult Dental - EPO
- Elite Silver - EPO
- Elite Silver + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Clear Silver - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Elite Gold - EPO
- Elite Gold + Vision + Adult Dental - EPO
- Enhanced Diabetes Care Silver with $0 Drug Options - EPO
- Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Everyday Gold - EPO
- Bronze 4 - HMO
- Bronze 8 - HMO
- Gold 1 - HMO
- Gold 1 with Adult Vision Services - HMO
- Gold 8 - HMO
- Silver 1 - HMO
- Silver 1 with Adult Vision Services - HMO
- Silver 12 with First 4 Primary Care Visits Free - HMO
- Silver 8 - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 25D0693843
- Facility Type
- Physician Office
- Certificate Effective Date
- April 02, 2025
- Certificate Expiration Date
- April 01, 2027
- Laboratory Director
- JACK CAUSEY
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Memorial Hospital At Gulfport in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 8 | 8 | 1 | 0 | 2 | 1 | 3 | 5 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 8 | 16 | 1 | 0 | 2 | 2 | 3 | 10 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 8 + 1 + 6 + 1 + 0 + 2 + 2 + 3 + 1 + 0 + 24 = 50 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1881021350 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 8 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1891731287 | MEDICAL FOUNDATION OF SOUTH MS Organization | Internal Medicine | 5120 BEATLINE RD SUITE A LONG BEACH, MS 39560 (228) 868-4287 |
| 1174542146 | MEDICAL FOUNDATION OF SOUTH MS Organization | Family Medicine | 5120 BEATLINE RD SUITE B LONG BEACH, MS 39560 (228) 868-4294 |
| 1316053846 | DR. BRUCE SAYLOR M.D. Individual | Family Medicine | 5120 BEATLINE RD SUITE B LONG BEACH, MS 39560 (228) 868-4294 |
| 1801128640 | MEMORIAL HOSPITAL AT GULFPORT Organization | Internal Medicine | 5120 BEATLINE RD SUITE A LONG BEACH, MS 39560 (228) 868-4287 |
| 1417289158 | MEMORIAL HOSPITAL AT GULFPORT Organization | Emergency Medicine | 5120 BEATLINE RD SUITE B LONG BEACH, MS 39560 (228) 868-4294 |
| 1124133400 | DR. HALVOR HEM M.D. Individual | Internal Medicine | 5120 BEATLINE RD LONG BEACH, MS 39560 (228) 864-8454 |
| 1790869626 | GEORGE WARD M.D. Individual | Family Medicine | 5120 BEATLINE RD LONG BEACH, MS 39560 (228) 868-4294 |
| 1013181486 | ASHLEY NICOLE PERRY CFNP Individual | Nurse Practitioner (Family) | 5120 BEATLINE RD LONG BEACH, MS 39560 (228) 868-4287 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1881021350, enumerated in the NPI registry as an "organization" on September 30, 2013
The provider is located at 5120 Beatline Rd Long Beach, Ms 39560 and the phone number is (228) 868-4287
This medical organization specializes in Family Medicine with taxonomy code 207Q00000X
The provider might be accepting Accepts: Ambetter from Arkansas Health & Wellness, Ambetter. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 25D0693843 for a "physician office" facility with a CLIA Certificate for Provider-Performed Microscopy Procedures (PPMP). This CLIA certificate is issued in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing..
This NPI record was last updated on September 30, 2013. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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