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MY BROTHER'S KEEPER, INC
NPI 1003582925
Clinic/Center in Gulfport, MS

Active since August 19, 2021CLIA 25D1064918 · Microscopy
1221 BRIDGE ST, GULFPORT, MS 39507(769) 216-2455 Get Directions Write a Review

NPPES record last updated: August 19, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About My Brother's Keeper, Inc NPPES

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

MY BROTHER'S KEEPER, INC (NPI 1003582925) is a healthcare organization registered as a clinic/center in Gulfport, Mississippi and active in the NPI registry since August 2021. The organization holds a CLIA Microscopy certificate valid through December 7, 2027 and lists June A Gipson, President/ceo, as its authorized official.

NPPES Registry Identity

NPI1003582925
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameMY BROTHER'S KEEPER, INC
Location Address1221 BRIDGE STGulfport, MS 39507-3506
Mailing Address1221 Bridge StGulfport, MS 39507-3506 · (769) 216-2455
Phone(769) 216-2455
Organization SubpartYes
Authorized OfficialJune A GipsonPresident/ceo · (769) 216-2455
Enumeration DateAugust 19, 2021
NPPES CertifiedAugust 19, 2021
✔ NPI 1003582925 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).
1221 BRIDGE ST, Gulfport, MS 39507
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Other Names 1

Other NameOpen Arms - Gulfport

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

My Brother's Keeper, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to My Brother's Keeper, Inc, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (5)

Brittany Brooks, M.D.
Family Practice
NPI 1750641759
805 E RIVER PL
Jackson, MS 39202
(601) 500-7660
✔ PECOS147 mi
Kristie Anderson, CFNP
Nurse Practitioner
NPI 1447632351
805 E RIVER PL
Jackson, MS 39202
(601) 500-7660
✔ PECOS✔ Accepts Medicare147 mi
Melissa White, NP
Nurse Practitioner
NPI 1033643432
805 E RIVER PL
Jackson, MS 39202
(601) 500-7660
✔ PECOS✔ Accepts Medicare147 mi
Jackie Simpson, FNP-C
Nurse Practitioner
NPI 1831468305
1500 E WOODROW WILSON AVE EMERGENCY DEPARTMENT
Jackson, MS 39216
(601) 362-4471
✔ PECOS✔ Accepts Medicare149 mi
Keith Stokes, MD
Family Practice
NPI 1821297961
1000 HIGHLAND COLONY PKWY STE 5203
Ridgeland, MS 39157
(855) 212-2273
✔ PECOS✔ Accepts Medicare155 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 25D1064918

My Brother's Keeper, Inc · Jackson, MS
Active · expires Dec 7, 2027
CLIA Number25D1064918
Laboratory TypeHealthcare Center
Certificate Effective DateDecember 8, 2025
Certificate Expiration DateDecember 7, 2027
Laboratory DirectorLeandro Mena
Laboratory Phone(769) 216-2455
Laboratory LocationMy Brother's Keeper, Inc805 East River Place, Jackson, MS 39202
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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 My Brother's Keeper, Inc's NPI number?

The NPI number for My Brother's Keeper, Inc is 1003582925. It was assigned to this organization in the NPPES registry on August 19, 2021. The provider is also known as Open Arms - Gulfport.

Where is My Brother's Keeper, Inc located?

My Brother's Keeper, Inc is located at 1221 Bridge St, Gulfport, MS 39507. The listed phone number is (769) 216-2455.

What is My Brother's Keeper, Inc's specialty?

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

Is My Brother's Keeper, Inc enrolled in Medicare?

Yes. My Brother's Keeper, Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through My Brother's Keeper, Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 2 Medicare specialties reassign their Medicare billing to My Brother's Keeper, Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (3) and Family Practice (2). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does My Brother's Keeper, Inc hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 25D1064918) is associated with this NPI, valid through December 7, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for My Brother's Keeper, Inc was last updated on August 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.