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SOUTHERN FAMILY URGENT CARE
NPI 1144582040
Nurse Practitioner - Family in Gulfport, MS

Active since June 15, 2012CLIA Certified · 2 labs
1212 E PASS RD, GULFPORT, MS 39507(228) 896-7108(228) 896-7174 Get Directions Write a Review

NPPES record last updated: February 14, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Southern Family Urgent Care NPPES

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

SOUTHERN FAMILY URGENT CARE (NPI 1144582040) is a healthcare organization registered as a family in Gulfport, Mississippi and active in the NPI registry since June 2012. The organization holds 2 active CLIA laboratory certificates and lists Amanda R Mizell, Owner, as its authorized official.

NPPES Registry Identity

NPI1144582040
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameA R MIZELL LLC
Location Address1212 E PASS RDGulfport, MS 39507-3403
Mailing AddressPo Box 787Grand Bay, AL 36541-0787 · (228) 896-7108 · Fax (228) 896-7174
Phone(228) 896-7108
Fax(228) 896-7174
Organization SubpartNo
Authorized OfficialAmanda R MizellOwner · (251) 510-8175
Enumeration DateJune 15, 2012
Last NPPES UpdateFebruary 14, 2023
NPPES CertifiedFebruary 14, 2023
✔ NPI 1144582040 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
1212 E PASS RD, Gulfport, MS 39507
Open in Google Maps ↗

Other Names 1

Doing Business AsSouthern Family Urgent Care

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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 2

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 25D2043399

Southern Family Urgent Care · Gulfport, MS
Active · expires Jul 1, 2028
CLIA Number25D2043399
Laboratory TypePractitioner Other
Certificate Effective DateJuly 2, 2026
Certificate Expiration DateJuly 1, 2028
Laboratory DirectorAmanda R. Mizell
Laboratory Phone(251) 510-8170
Laboratory LocationSouthern Family Urgent Care1212 East Pass Road, Gulfport, MS 39507
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 25D2182630

Southern Family Urgent Care LLC · Gulfport, MS
Active · expires Apr 22, 2028
CLIA Number25D2182630
Laboratory TypePhysician Office
Certificate Effective DateApril 23, 2026
Certificate Expiration DateApril 22, 2028
Laboratory DirectorAmanda R. Mizell
Laboratory Phone(228) 896-7108
Laboratory LocationSouthern Family Urgent Care LLC12303 Hwy 49 Ste A, Gulfport, MS 39503
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 2

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

SARA LYNN BAYLOR APRN, FNP-BC
Nurse Practitioner (Family)
1212 E PASS RD
GULFPORT, MS 39507
Harrison County (228) 896-7108
MRS. AMANDA RENIA MIZELL CRNP
Nurse Practitioner (Family)
1212 E PASS RD
GULFPORT, MS 39507
Harrison County (228) 896-7108

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 A R Mizell LLC's NPI number?

The NPI number for A R Mizell LLC is 1144582040. It was assigned to this organization in the NPPES registry on June 15, 2012. The provider is doing business as Southern Family Urgent Care.

Where is A R Mizell LLC located?

A R Mizell LLC is located at 1212 E Pass Rd, Gulfport, MS 39507. The listed phone number is (228) 896-7108.

What is A R Mizell LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Does A R Mizell LLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does A R Mizell LLC 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 A R Mizell LLC 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 A R Mizell LLC was last updated on February 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.