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PRIMARY CARE MEDICAL CENTER OF GULFPORT, PLLC
NPI 1427271840
Family Medicine in Gulfport, MS

Active since April 11, 2007
15444 DEDEAUX RD, STE. B, GULFPORT, MS 39503(228) 832-9038(228) 832-9990 Get Directions Write a Review

NPPES record last updated: July 13, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Primary Care Medical Center Of Gulfport, Pllc NPPES

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

PRIMARY CARE MEDICAL CENTER OF GULFPORT, PLLC (NPI 1427271840) is a healthcare organization registered as a family medicine in Gulfport, Mississippi and active in the NPI registry since April 2007. The organization lists Angela V Mcclure, Insurance Clerk, as its authorized official.

NPPES Registry Identity

NPI1427271840
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePRIMARY CARE MEDICAL CENTER OF GULFPORT, PLLC
Location Address15444 DEDEAUX RD, STE. BGulfport, MS 39503-2637
Mailing Address15444 Dedeaux Rd, Ste. BGulfport, MS 39503-2637 · (228) 832-9038 · Fax (228) 832-9990
Phone(228) 832-9038
Fax(228) 832-9990
Organization SubpartNo
Authorized OfficialAngela V McclureInsurance Clerk · (228) 832-9038
Enumeration DateApril 11, 2007
Last NPPES UpdateJuly 13, 2007
✔ NPI 1427271840 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.
Also ListedPreventive Medicine · Occupational MedicineTaxonomy 2083X0100X
15444 DEDEAUX RD, Gulfport, MS 39503
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Other Identifiers 2

Medicare ID-Type UnspecifiedC00324MS · Old Tax Id
Medicare ID-Type UnspecifiedC03102MS · New Tax Id

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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.

KATHERINE THAMES FNP
Nurse Practitioner (Family)
15444 DEDEAUX RD, SUITE B
GULFPORT, MS 39503
Harrison County (228) 832-9038
DR. ROGER H REED M.D.
Family Medicine
15444 DEDEAUX RD, STE. B
GULFPORT, MS 39503
Harrison County (228) 832-9038

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 Primary Care Medical Center Of Gulfport, PLLC's NPI number?

The NPI number for Primary Care Medical Center Of Gulfport, PLLC is 1427271840. It was assigned to this organization in the NPPES registry on April 11, 2007.

Where is Primary Care Medical Center Of Gulfport, PLLC located?

Primary Care Medical Center Of Gulfport, PLLC is located at 15444 Dedeaux Rd Ste. B, Gulfport, MS 39503. The listed phone number is (228) 832-9038.

What is Primary Care Medical Center Of Gulfport, PLLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Primary Care Medical Center Of Gulfport, PLLC was last updated on July 13, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.