PHYSICIANS CLINIC AT MHG
NPI 1053643791
Internal Medicine in Gulfport, MS

Q: What is Memorial Hospital At Gulfport's NPI number?

The NPI number for Memorial Hospital At Gulfport is 1053643791. It was assigned to this organization in the NPPES registry on February 5, 2010. The provider is doing business as Physicians Clinic At Mhg.

Q: What is Memorial Hospital At Gulfport's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Active since February 05, 2010CLIA Certified · 3 labs

4500 13TH ST, GULFPORT, MS 39501(228) 867-5201(228) 867-3152 Get Directions Write a Review

NPPES record last updated: January 3, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Physicians Clinic At Mhg NPPES

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

PHYSICIANS CLINIC AT MHG (NPI 1053643791) is a healthcare organization registered as an internal medicine in Gulfport, Mississippi and active in the NPI registry since February 2010. The organization holds 3 active CLIA laboratory certificates and lists Jeff T Steiner, Vp Of Finance, as its authorized official.

NPPES Registry Identity

NPI1053643791

Entity TypeOrganization

Primary Taxonomy207R00000X

Legal Business NameMEMORIAL HOSPITAL AT GULFPORT

Location Address4500 13TH STGulfport, MS 39501-2515

Mailing AddressPo Box 555Biloxi, MS 39533-0555 · (228) 864-0854 · Fax (228) 865-1457

Phone(228) 867-5201

Fax(228) 867-3152

Organization SubpartNo

Authorized OfficialJeff T SteinerVp Of Finance · (228) 865-3106

Enumeration DateFebruary 5, 2010

Last NPPES UpdateJanuary 3, 2011

✔ NPI 1053643791 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

4500 13TH ST, Gulfport, MS 39501

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Other Names 1

Doing Business AsPhysicians Clinic At Mhg

Other Identifiers 3

Medicaid01724318MS

Medicare PIN302G700865MS

Other=========HMS · Bcbs

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA 3

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 of Accreditation 25D0869929

Memorial Hospital At Gulfport - Respiratory Abg's · Gulfport, MS

Active · expires Jan 2, 2027

CLIA Number25D0869929

Laboratory TypeHospital

Certificate Effective DateJanuary 3, 2025

Certificate Expiration DateJanuary 2, 2027

Laboratory DirectorDr. Bobby Tullos

Laboratory Phone(228) 865-3136

Laboratory LocationMemorial Hospital At Gulfport - Respiratory Abg's4500 13th St, Gulfport, MS 39501

CLIA data matches this NPI record on: Address Name

This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Certificate of Waiver 25D0948435

Memorial Hospital-Gulfport/Ns · Gulfport, MS

Active · expires Jul 9, 2028

CLIA Number25D0948435

Laboratory TypeHospital

Certificate Effective DateJuly 10, 2026

Certificate Expiration DateJuly 9, 2028

Laboratory DirectorAshley Ross

Laboratory Phone(228) 865-3090

Laboratory LocationMemorial Hospital-Gulfport/Ns4500 13th Street, Gulfport, MS 39501

CLIA data matches this NPI record on: Address

This certificate is issued to a laboratory to perform only waived tests.

Certificate of Accreditation 25D0319447

Memorial Hosp At Gulfport Path Lab · Gulfport, MS

Active · expires Feb 27, 2027

CLIA Number25D0319447

Laboratory TypeAncillary Testing Site In Health Care Center

Certificate Effective DateFebruary 28, 2025

Certificate Expiration DateFebruary 27, 2027

Laboratory DirectorDr. Matthew Safley

Laboratory Phone(228) 575-2300

Laboratory LocationMemorial Hosp At Gulfport Path Lab4500 13th St Box 1810, Gulfport, MS 39501

CLIA data matches this NPI record on: Address

This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES 20

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

HEATHER LYN JEFFREY

Nurse Practitioner