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MEMORIAL STONE COUNTY MEDICAL CENTER
NPI 1104477710
Family Medicine in Wiggins, MS

Active since September 25, 2019CLIA 25D1028769 · Waiver
1440 CENTRAL AVE E, WIGGINS, MS 39577(601) 928-6600(601) 928-6610 Get Directions Write a Review

NPPES record last updated: January 9, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Memorial Stone County Medical Center NPPES

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

MEMORIAL STONE COUNTY MEDICAL CENTER (NPI 1104477710) is a healthcare organization registered as a family medicine in Wiggins, Mississippi and active in the NPI registry since September 2019. The organization holds a CLIA Waiver certificate valid through March 31, 2028 and lists Peggy Lorraine Noonan, Physician Business Services Dir., as its authorized official.

NPPES Registry Identity

NPI1104477710
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMEMORIAL HOSPITAL AT GULFPORT
Location Address1440 CENTRAL AVE EWiggins, MS 39577-9602
Mailing Address1440 Central Ave EWiggins, MS 39577-9602 · (601) 928-6600 · Fax (601) 928-6610
Phone(601) 928-6600
Fax(601) 928-6610
Organization SubpartNo
Authorized OfficialPeggy Lorraine NoonanPhysician Business Services Dir. · (228) 575-1740
Enumeration DateSeptember 25, 2019
Last NPPES UpdateJanuary 9, 2024
NPPES CertifiedJanuary 9, 2024
✔ NPI 1104477710 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
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.
1440 CENTRAL AVE E, Wiggins, MS 39577
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Other Names 1

Doing Business AsMemorial Stone County Medical Center

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.Insurance ›

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 of Waiver 25D1028769

Memorial Stone County Medical Center · Wiggins, MS
Active · expires Mar 31, 2028
CLIA Number25D1028769
Laboratory TypeRural Health Clinic
Certificate Effective DateApril 1, 2026
Certificate Expiration DateMarch 31, 2028
Laboratory DirectorAshley Ross
Laboratory Phone(601) 928-6600
Laboratory LocationMemorial Stone County Medical Center1440 East Central Ave, Wiggins, MS 39577
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 9

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

CANDACE KEMP
Occupational Therapist
1440 CENTRAL AVE E
WIGGINS, MS 39577
Stone County (601) 928-6700
QUEST REHAB, INC.
Speech-Language Pathologist
1440 CENTRAL AVE E
WIGGINS, MS 39577
Stone County (601) 928-6740
DR. WILLIAM WALTON BEAZLEY D.O.
Emergency Medicine
1440 CENTRAL AVE E
WIGGINS, MS 39577
Stone County (601) 928-6700
MS. REBECCA HARRIS FNP
Nurse Practitioner
1440 CENTRAL AVE E
WIGGINS, MS 39577
Stone County (601) 928-6700
ROBERT K PARTRIGE MD
Family Medicine
1440 CENTRAL AVE E
WIGGINS, MS 39577
Stone County (601) 928-6700
ERICA R PALMER
Speech-Language Pathologist
1440 CENTRAL AVE E
WIGGINS, MS 39577
Stone County (601) 928-6700
MARLY JILL DAVIS NP
Nurse Practitioner
1440 CENTRAL AVE E
WIGGINS, MS 39577
Stone County (601) 928-6700
SHANIECE ANTIONETTE TURNER
Physical Therapist
1440 CENTRAL AVE E
WIGGINS, MS 39577
Stone County (601) 928-6700

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 Memorial Hospital At Gulfport's NPI number?

The NPI number for Memorial Hospital At Gulfport is 1104477710. It was assigned to this organization in the NPPES registry on September 25, 2019. The provider is doing business as Memorial Stone County Medical Center.

Where is Memorial Hospital At Gulfport located?

Memorial Hospital At Gulfport is located at 1440 Central Ave E, Wiggins, MS 39577. The listed phone number is (601) 928-6600.

What is Memorial Hospital At Gulfport's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Memorial Hospital At Gulfport hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 25D1028769) is associated with this NPI, valid through March 31, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Memorial Hospital At Gulfport accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee and 1 other insurer list Memorial Hospital At Gulfport as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Memorial Hospital At Gulfport was last updated on January 9, 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.