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PATRIOT HEALTHCARE OF MISSISSIPPI, LLC
NPI 1477022838
Family Medicine - Geriatric Medicine in Gulfport, MS

Active since November 15, 2018
1110 BROAD STREET, SUITE 300, GULFPORT, MS 39501(228) 563-4787 Get Directions Write a Review

NPPES record last updated: November 15, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Patriot Healthcare Of Mississippi, Llc NPPES

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

PATRIOT HEALTHCARE OF MISSISSIPPI, LLC (NPI 1477022838), doing business as Phc Of Ms Gulfport, is a healthcare organization registered as a geriatric medicine in Gulfport, Mississippi and active in the NPI registry since November 2018. The organization lists David A. Culver, Administrator, as its authorized official.

NPPES Registry Identity

NPI1477022838
Entity TypeOrganization
Primary Taxonomy207QG0300X
Legal Business NamePATRIOT HEALTHCARE OF MISSISSIPPI, LLC
Location Address1110 BROAD STREET, SUITE 300Gulfport, MS 39501
Mailing Address100 Arricola AvenueSt. Augustine, FL 32080 · (904) 825-4368
Phone(228) 563-4787
Organization SubpartNo
Authorized OfficialDavid A. CulverAdministrator · (904) 825-4368
Enumeration DateNovember 15, 2018
✔ NPI 1477022838 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QG0300X
Definition

A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.

1110 BROAD STREET, Gulfport, MS 39501
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Other Names 1

Doing Business AsPhc Of Ms Gulfport

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

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 Patriot Healthcare Of Mississippi, LLC's NPI number?

The NPI number for Patriot Healthcare Of Mississippi, LLC is 1477022838. It was assigned to this organization in the NPPES registry on November 15, 2018.

Where is Patriot Healthcare Of Mississippi, LLC located?

Patriot Healthcare Of Mississippi, LLC is located at 1110 Broad Street Suite 300, Gulfport, MS 39501. The listed phone number is (228) 563-4787.

What is Patriot Healthcare Of Mississippi, LLC's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Geriatric Medicine, with taxonomy code 207QG0300X.

When was this NPI record last updated?

The NPPES record for Patriot Healthcare Of Mississippi, LLC was last updated on November 15, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.