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DERRIYAN LANAE PRICE DO
NPI 1356080618
Family Medicine in Gulfport, MS

Active since June 03, 2022PECOS Enrolled
5502 MARVIN SHIELDS BLVD, BLDG 472, GULFPORT, MS 39501(228) 822-5061 Get Directions Write a Review

NPPES record last updated: July 23, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 7, 2025, May 20, 2023 (2 updates tracked since 2023).

About Derriyan Lanae Price Do NPPES

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

DERRIYAN LANAE PRICE DO (NPI 1356080618) is an individual family medicine provider in Gulfport, Mississippi, licensed in Virginia (0102208259) and active in the NPI registry since June 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1356080618
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDERRIYAN LANAE PRICECredential: DO
Location Address5502 MARVIN SHIELDS BLVD, BLDG 472Gulfport, MS 39501
Mailing Address5502 Marvin Shields Blvd,, Bldg 472Gulfport, MS 39501 · (228) 822-5061 · Fax (228) 871-3390
Phone(228) 822-5061
Sole ProprietorNo
Enumeration DateJune 3, 2022
Last NPPES UpdateJuly 23, 20252 updates tracked since enumeration
NPPES CertifiedJuly 15, 2025
✔ NPI 1356080618 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in VA · 0102208259
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.
Also ListedMilitary Health Care ProviderTaxonomy 171000000X
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 0102208259 (VA)
5502 MARVIN SHIELDS BLVD, Gulfport, MS 39501
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Derriyan Lanae Price Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39501 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$80.50 typical visit price
range $51.65 – $159.18
Typical copayment $20.12 (range $12.91 – $39.79)
Most-billed visit code 99203
Established Patient
$92.20 typical visit price
range $16.15 – $129.61
Typical copayment $23.05 (range $4.03 – $32.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 13

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

PAMELA ANN EDWARDS
Nurse Practitioner
5502 MARVIN SHIELDS BLVD
GULFPORT, MS 39501
Harrison County (228) 871-4033
SHANNON DEIRDRE BRADLEY LCSW
Social Worker (Clinical)
5502 MARVIN SHIELDS BLVD
GULFPORT, MS 39501
Harrison County (228) 822-5710
CARLEY MARIE MAYBERRY RN
Registered Nurse
5502 MARVIN SHIELDS BLVD
GULFPORT, MS 39501
Harrison County (913) 837-0691
BRANCH MEDICAL CLINIC GULFPORT
Clinic/Center (Military/U.S. Coast Guard Outpatient)
5502 MARVIN SHIELDS BLVD
GULFPORT, MS 39501
Harrison County (850) 505-6157
NHC PENSACOLA
Military/U.S. Coast Guard Pharmacy
5502 MARVIN SHIELDS BLVD
GULFPORT, MS 39501
Harrison County (228) 822-5783
DR. WILLIAM SHELTON PEARSON M.D.
Psychiatry & Neurology (Psychiatry)
5502 MARVIN SHIELDS BLVD
GULFPORT, MS 39501
Harrison County (282) 822-5710
KELLYLYNN ZUNI PHD
Psychologist (Clinical)
5502 MARVIN SHIELDS BLVD
GULFPORT, MS 39501
Harrison County (282) 871-4033
VALARIE ANNE CHAPMON LCSW
Social Worker (Clinical)
5502 MARVIN SHIELDS BLVD
GULFPORT, MS 39501
Harrison County (228) 822-5710

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 Derriyan Price's NPI number?

The NPI number for Derriyan Price is 1356080618. It was assigned to this individual provider in the NPPES registry on June 3, 2022.

Where is Derriyan Price located?

Derriyan Price practices at 5502 Marvin Shields Blvd Bldg 472, Gulfport, MS 39501. The listed phone number is (228) 822-5061.

What is Derriyan Price's specialty?

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

Is Derriyan Price enrolled in Medicare?

Yes. Derriyan Price is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Derriyan Price was last updated on July 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.