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LANDMARK MEDICAL OF MISSISSIPPI PC
NPI 1053818245
General Practice in Gulfport, MS

Active since April 12, 2018
14116 CUSTOMS BLVD, GULFPORT, MS 39503(657) 400-5180 Get Directions Write a Review

NPPES record last updated: January 30, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 29, 2019, May 15, 2019, Apr 12, 2018 (3 updates tracked since 2018).

About Landmark Medical Of Mississippi Pc NPPES

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

LANDMARK MEDICAL OF MISSISSIPPI PC (NPI 1053818245) is a healthcare organization registered as a general practice in Gulfport, Mississippi and active in the NPI registry since April 2018. The organization lists Christopher Dennis, Chief Medical Officer, as its authorized official.

NPPES Registry Identity

NPI1053818245
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameLANDMARK MEDICAL OF MISSISSIPPI PC
Location Address14116 CUSTOMS BLVDGulfport, MS 39503-5164
Mailing Address7755 Center Ave Ste 630Huntington Beach, CA 92647-9152 · (657) 400-5180
Phone(657) 400-5180
Organization SubpartNo
Authorized OfficialChristopher DennisChief Medical Officer · (657) 400-5180
Enumeration DateApril 12, 2018
Last NPPES UpdateJanuary 30, 20243 updates tracked since enumeration
NPPES CertifiedJanuary 30, 2024
✔ NPI 1053818245 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
14116 CUSTOMS BLVD, Gulfport, MS 39503
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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

Other Providers at the Same Location NPPES 7

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

DANIEL SALMERON MD
Family Medicine
14116 CUSTOMS BLVD
GULFPORT, MS 39503
Harrison County (601) 957-6300
TAMMY VINCENT
Nurse Practitioner (Acute Care)
14116 CUSTOMS BLVD
GULFPORT, MS 39503
Harrison County (601) 957-6300
RANDAL HERBERT FNP-C
Nurse Practitioner (Family)
14116 CUSTOMS BLVD
GULFPORT, MS 39503
Harrison County (601) 957-6300
AMBER MARTIN ARNOLD NP-C
Nurse Practitioner (Family)
14116 CUSTOMS BLVD
GULFPORT, MS 39503
Harrison County (601) 957-6300
DEBRA B BAXTER FNP-BC
Nurse Practitioner
14116 CUSTOMS BLVD
GULFPORT, MS 39503
Harrison County (833) 362-6703
JAMIE ROBINSON C-FNP
Nurse Practitioner (Family)
14116 CUSTOMS BLVD
GULFPORT, MS 39503
Harrison County (601) 957-6300
MRS. JOANNE FAIRLEY NP
Nurse Practitioner
14116 CUSTOMS BLVD
GULFPORT, MS 39503
Harrison County (601) 957-6300

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 Landmark Medical Of Mississippi PC's NPI number?

The NPI number for Landmark Medical Of Mississippi PC is 1053818245. It was assigned to this organization in the NPPES registry on April 12, 2018.

Where is Landmark Medical Of Mississippi PC located?

Landmark Medical Of Mississippi PC is located at 14116 Customs Blvd, Gulfport, MS 39503. The listed phone number is (657) 400-5180.

What is Landmark Medical Of Mississippi PC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Landmark Medical Of Mississippi PC was last updated on January 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.