NORTH BAY FAMILY MEDICAL CLINIC, PA
NPI 1417912486
Family Medicine in Biloxi, MS

Active since April 20, 2006CLIA 25D0319708 · Microscopy
15012 LEMOYNE BLVD, BILOXI, MS 39532(228) 392-5050(228) 392-9168 Get Directions Write a Review

NPPES record last updated: November 6, 2008. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About North Bay Family Medical Clinic, Pa NPPES

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

NORTH BAY FAMILY MEDICAL CLINIC, PA (NPI 1417912486) is a healthcare organization registered as a family medicine in Biloxi, Mississippi and active in the NPI registry since April 2006. The organization holds a CLIA Microscopy certificate valid through January 14, 2028 and lists Richard H Smith, President, as its authorized official.

NPPES Registry Identity

NPI1417912486
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameNORTH BAY FAMILY MEDICAL CLINIC, PA
Location Address15012 LEMOYNE BLVDBiloxi, MS 39532-5205
Mailing Address15012 Lemoyne BlvdBiloxi, MS 39532-5205 · (228) 392-5050 · Fax (228) 392-9168
Fax(228) 392-9168
Organization SubpartNo
Authorized OfficialRichard H SmithPresident · (228) 392-5050
Enumeration DateApril 20, 2006
Last NPPES UpdateNovember 6, 2008
✔ NPI 1417912486 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.
15012 LEMOYNE BLVD, Biloxi, MS 39532

Other Identifiers 3

Medicaid009015002MS
Medicare PINC00233MS
Medicare NSC1119520001MS

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

North Bay Family Medical Clinic, Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

11

Medicare enrollment records show 11 clinicians reassign Medicare billing to North Bay Family Medical Clinic, PA, which bills Medicare for the services they deliver. Of these, 10 practice within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 2

Nurse Practitioner6
Family Practice5

Clinicians, nearest first (11)

Nurse Practitioner
NPI 1356900534
15012 LEMOYNE BLVD
Biloxi, MS 39532
(228) 392-5050
✔ PECOS✔ Accepts Medicare0.1 mi
Family Practice
NPI 1407938368
15012 LEMOYNE BLVD
Biloxi, MS 39532
(228) 396-1285
✔ PECOS0.1 mi
Nurse Practitioner
NPI 1891157467
15012 LEMOYNE BLVD
Biloxi, MS 39532
(228) 392-5050
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1538737762
15012 LEMOYNE BLVD
Biloxi, MS 39532
(228) 392-9174
✔ PECOS✔ Accepts Medicare0.1 mi
Family Practice
NPI 1548792732
15012 LEMOYNE BLVD
Biloxi, MS 39532
(228) 392-5050
✔ PECOS✔ Accepts Medicare0.1 mi
Family Practice
NPI 1093755795
15012 LEMOYNE BLVD
Biloxi, MS 39532
(228) 392-5050
✔ PECOS✔ Accepts Medicare0.1 mi
Family Practice
NPI 1851333009
15012 LEMOYNE BLVD
Biloxi, MS 39532
(228) 392-5050
✔ PECOS✔ Accepts Medicare0.1 mi
Family Practice
NPI 1760422885
15012 LEMOYNE BLVD
Biloxi, MS 39532
(228) 392-5050
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1285967646
15012 LEMOYNE BLVD
Biloxi, MS 39532
(228) 392-5050
✔ PECOS0.1 mi
Nurse Practitioner
NPI 1477824902
3920 PROMENADE PKWY STE A
Diberville, MS 39540
(228) 456-0173
✔ PECOS✔ Accepts Medicare2.5 mi
Nurse Practitioner
NPI 1124576707
8006 HIGHWAY 613
Moss Point, MS 39562
(228) 475-1166
✔ PECOS✔ Accepts Medicare19 mi

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

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 for Provider-Performed Microscopy Procedures (PPMP) 25D0319708

North Bay Family Medical Clinic · Biloxi, MS
Active · expires Jan 14, 2028
CLIA Number25D0319708
Laboratory TypePhysician Office
Certificate Effective DateJanuary 15, 2026
Certificate Expiration DateJanuary 14, 2028
Laboratory DirectorAnita A. Segovia
Laboratory Phone(228) 392-5050
Laboratory LocationNorth Bay Family Medical Clinic15012 Lemoyne Blvd, Biloxi, MS 39532
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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 North Bay Family Medical Clinic, PA's NPI number?

The NPI number for North Bay Family Medical Clinic, PA is 1417912486. It was assigned to this organization in the NPPES registry on April 20, 2006.

Where is North Bay Family Medical Clinic, PA located?

North Bay Family Medical Clinic, PA is located at 15012 Lemoyne Blvd, Biloxi, MS 39532. The listed phone number is (228) 392-5050.

What is North Bay Family Medical Clinic, PA's specialty?

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

Is North Bay Family Medical Clinic, PA enrolled in Medicare?

Yes. North Bay Family Medical Clinic, PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through North Bay Family Medical Clinic, PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 11 clinicians in 2 Medicare specialties reassign their Medicare billing to North Bay Family Medical Clinic, PA. 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. The largest specialties are Nurse Practitioner (6) and Family Practice (5). Of these, 10 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does North Bay Family Medical Clinic, PA hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 25D0319708) is associated with this NPI, valid through January 14, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does North Bay Family Medical Clinic, PA accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 1 other insurer list North Bay Family Medical Clinic, PA 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 North Bay Family Medical Clinic, PA was last updated on November 6, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.