MOSS POINT FAMILY CLINIC (NPI# 1518172568) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518172568 |
| Entity Type | Organization |
| Organization Name | MOSS POINT FAMILY CLINIC |
| Practice Address |
5430 Griffin St Moss Point MS 39563-2003 |
| Practice Telephone | 2283550719 |
| Practice Fax Number | 2284754039 |
| Mailing Telephone | 2283550719 |
| Mailing Fax Number | 2284754039 |
| Enumeration Date | 2007-05-13 |
| Last Update Date | 2008-05-22 |
| Authorized Official Name | WILLIAM SIDNEY ROBERT ROSS (OWNER) |
| Authorized Official Telephone | 2283550719 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
12739 | MS | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 0115091 | 05 | |
| MS | 01903811 | 05 | |
| MS | PA GRAY'S NPI | 1710955869 | 01 |
| MS | BCBS | 296723832 | 01 |
| MS | RAILROAD MEDICARE | DG3268 | 01 |
| MS | PERSONAL NPI NUMBER FOR M | 1972617884 | 01 |
| Street Address |
5430 GRIFFIN ST |
| City | MOSS POINT |
| State | MS |
| Zip Code | 39563-2003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215596713 | Emmanuel Transit, LLC | Non-emergency Medical Transport (VAN) | 4337 Terrace Drive, Moss Point, MS 39563 | 2019-06-08 |
| 1134628985 | Kendra S Gardner | Nurse Practitioner | 3702 Jefferson St, Pascagoula, MS 39563 | 2018-02-07 |
| 1386186591 | Alice Smith | Counselor | 5007 Jefferson Street, Moss Point, MS 39563 | 2016-11-07 |
| 1508897000 | Coastal Family Health Center, Inc. | Clinic/Center | 4913 Weems Street, Moss Point, MS 39563 | 2006-07-05 |
| 1417988916 | Coastal Family Health Center | Clinic/Center | 6602 Orange Grove Road, Moss Point, MS 39563 | 2006-07-05 |
| 1285107466 | Miller Pharmacy | Pharmacy | 7818 Highway 613, Moss Point, MS 39563 | 2019-01-09 |
| 1629203153 | Clifford James Cook | Dentist | 4100 Mcinnis Ave, Moss Point, MS 39563-0000 | 2009-05-28 |
| 1376157487 | Rebekah N Stallworth | Nurse Practitioner | 5200 Griffin St, Moss Point, MS 39563-2020 | 2020-09-04 |
| 1871073403 | Elizabeth Adair Beatty | Pharmacist | 4231 Dantzler St, Moss Point, MS 39563-2217 | 2018-08-14 |
| 1730244500 | F T Inc | Durable Medical Equipment & Medical Supplies | 3619 Marion Place, Moss Point, MS 39563-2227 | 2006-12-22 |
| Find all providers in zip 39563 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477176824 | Crystalcare | Clinic/Center | 3124 N Shiloh Road, Corinth, MS 38834 | 2020-05-20 |
| 1134759780 | Family First Clinic of Hernando, Limited | Clinic/Center | 2416 Mount Pleasant Rd, Hernando, MS 38632-2001 | 2020-01-23 |
| 1720640899 | Home In The Woods Healthcare Clinic, LLC | Clinic/Center | 6572 County Road 514, Itta Bena, MS 38941-2746 | 2019-06-28 |
| 1366003436 | Blackwell's Family Medicine LLC | Clinic/Center | 107 Ball Ave, Tylertown, MS 39667-2101 | 2019-06-27 |
| 1710545488 | Primary and Behavioral Healthcare Services, Pa | Clinic/Center | 717 E. Fortification St., Jackson, MS 39202-2402 | 2019-05-29 |
| 1720559354 | Golden Years Geriatrics Inc. | Clinic/Center | 1233 County Road 108, New Albany, MS 38652-9787 | 2018-12-07 |
| 1316421373 | Children's International, LLC | Clinic/Center | 2003 Wildwood Rd, Picayune, MS 39466-2178 | 2018-09-17 |
| 1124505912 | Thaxton Family Medical Clinic LLC | Clinic/Center | 11145 Highway 6 W, Thaxton, MS 38871-9024 | 2018-07-24 |
| 1316439615 | Quad/med, LLC | Clinic/Center | 1000 Jere St. Pe' Hwy, C/o Ingalls Main Substation, 1st Floor, Pascagoula, MS 39567 | 2018-06-01 |
| 1194215681 | Brooks Medical Clinic | Clinic/Center | 2113 South Tate Street, Corinth, MS 38834 | 2018-05-10 |
| Find all providers with the same taxonomy | ||||
| City | MOSS POINT |
| Zip Code | 39563 |
Please comment or provide details below to improve the information on MOSS POINT FAMILY CLINIC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.