SOUTHERN FAMILY URGENT CARE LLC
NPI 1396379186
Clinic/Center - Urgent Care in Gulfport, MS
About Southern Family Urgent Care Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SOUTHERN FAMILY URGENT CARE LLC (NPI 1396379186) is a healthcare organization registered as an urgent care in Gulfport, Mississippi and active in the NPI registry since March 2020. The organization lists Amanda R Mizell, Owner/ Nurse Practitioner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Southern Family Urgent Care Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
8Medicare enrollment records show 8 clinicians reassign Medicare billing to Southern Family Urgent Care LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 5 within 10 miles. They are listed nearest first.
Clinicians, nearest first (8)
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 Southern Family Urgent Care LLC's NPI number?
The NPI number for Southern Family Urgent Care LLC is 1396379186. It was assigned to this organization in the NPPES registry on March 2, 2020.
Where is Southern Family Urgent Care LLC located?
Southern Family Urgent Care LLC is located at 12303 Highway 49, Gulfport, MS 39503. The listed phone number is (228) 999-9999.
What is Southern Family Urgent Care LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Urgent Care, with taxonomy code 261QU0200X.
Is Southern Family Urgent Care LLC enrolled in Medicare?
Yes. Southern Family Urgent Care LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Southern Family Urgent Care LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 8 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Southern Family Urgent Care LLC. 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 at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Southern Family Urgent Care LLC accept?
Health plans from Cigna Healthcare and Molina Healthcare list Southern Family Urgent Care 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 Southern Family Urgent Care 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.
# Southern Family Urgent Care Llc · NPI 1396379186
Urgent Care organization in Gulfport, Mississippi. Organization record, active in the CMS NPPES registry since March 2, 2020.
## Identity
- **NPI:** 1396379186 (Entity type: Organization)
- **Enumerated:** March 2, 2020
- **Primary specialty:** Clinic/Center - Urgent Care · taxonomy 261QU0200X
- **Organization subpart:** No
- **Authorized official:** Amanda Mizell, OWNER/ NURSE PRACTITIONER
## Practice location
- **Address:** 12303 HIGHWAY 49, Gulfport, MS 39503-2780
- **Phone:** (228) 999-9999
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 8 clinicians (Nurse Practitioner) reassign Medicare billing to this organization (form CMS-855R); 1 practice at this address and 5 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 14, 2023
- **Other identifiers:** Medicaid 03337280 (MS)
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Source: [NPI Profile](https://npiprofile.com/npi/1396379186) · Data from the CMS NPPES public registry.