FOREVER YOUNG MENS HEALTH CLINIC PLLC
NPI 1114503190
Internal Medicine - Endocrinology, Diabetes & Metabolism in Gulfport, MS

Q: What is Forever Young Mens Health Clinic PLLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Active since March 22, 2021

8837 LORRAINE RD STE B, GULFPORT, MS 39503(228) 669-7293 Get Directions Write a Review

NPPES record last updated: May 11, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 11, 2022, Mar 24, 2021 (2 updates tracked since 2021).

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About Forever Young Mens Health Clinic Pllc NPPES

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

FOREVER YOUNG MENS HEALTH CLINIC PLLC (NPI 1114503190) is a healthcare organization registered as an endocrinology, diabetes & metabolism in Gulfport, Mississippi and active in the NPI registry since March 2021. The organization lists Kendrick Mccarty, Owner, as its authorized official.

NPPES Registry Identity

NPI1114503190

Entity TypeOrganization

Primary Taxonomy207RE0101X

Legal Business NameFOREVER YOUNG MENS HEALTH CLINIC PLLC

Location Address8837 LORRAINE RD STE BGulfport, MS 39503-5042

Mailing Address8837 Lorraine Rd Ste BGulfport, MS 39503-5042 · (228) 669-7293

Phone(228) 669-7293

Organization SubpartNo

Authorized OfficialKendrick MccartyOwner · (228) 669-7293

Enumeration DateMarch 22, 2021

Last NPPES UpdateMay 11, 20222 updates tracked since enumeration

NPPES CertifiedMay 11, 2022

✔ NPI 1114503190 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians

Taxonomy Code207RE0101X

Definition

An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.

Also ListedClinic/Center · Health ServiceTaxonomy 261QH0100X

8837 LORRAINE RD STE B, Gulfport, MS 39503

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Forever Young Mens Health Clinic Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 3 clinicians reassign Medicare billing to Forever Young Mens Health Clinic PLLC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Jared Deloach, NP

Nurse Practitioner

NPI 1235766304

1391 BROAD AVE STE A
Gulfport, MS 39501

(228) 863-8868

✔ PECOS✔ Accepts Medicare6.2 mi

Kendrick Mccarty

Nurse Practitioner

NPI 1649621368

2725 ANDREW AVE
Pascagoula, MS 39567

(228) 762-3993

✔ PECOS✔ Accepts Medicare29 mi

Kimberly Dominique, FNP

Nurse Practitioner

NPI 1902496524

4310 CHICOT ST
Pascagoula, MS 39581

(228) 205-4737

✔ PECOS✔ Accepts Medicare30 mi

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

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 Forever Young Mens Health Clinic PLLC's NPI number?

The NPI number for Forever Young Mens Health Clinic PLLC is 1114503190. It was assigned to this organization in the NPPES registry on March 22, 2021.

Where is Forever Young Mens Health Clinic PLLC located?

Forever Young Mens Health Clinic PLLC is located at 8837 Lorraine Rd Ste B, Gulfport, MS 39503. The listed phone number is (228) 669-7293.

What is Forever Young Mens Health Clinic PLLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Forever Young Mens Health Clinic PLLC enrolled in Medicare?

Yes. Forever Young Mens Health Clinic PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Forever Young Mens Health Clinic PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Forever Young Mens Health Clinic PLLC. 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. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Forever Young Mens Health Clinic PLLC was last updated on May 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.