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BAZ FAMILY MEDICAL CLINIC
NPI 1508353384
Family Medicine in Pascagoula, MS

Active since April 17, 2018CLIA 25D2151535 · Waiver
4310 CHICOT ST, PASCAGOULA, MS 39581(717) 421-5490 Get Directions Write a Review

NPPES record last updated: April 17, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Baz Family Medical Clinic NPPES

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

BAZ FAMILY MEDICAL CLINIC (NPI 1508353384) is a healthcare organization registered as a family medicine in Pascagoula, Mississippi and active in the NPI registry since April 2018. The organization holds a CLIA Waiver certificate valid through July 19, 2028 and lists Jeanette Shabazz, Presiden, as its authorized official.

NPPES Registry Identity

NPI1508353384
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameBAZ FAMILY MEDICAL CLINIC
Location Address4310 CHICOT STPascagoula, MS 39581-4700
Mailing Address7922 Longwood DrGautier, MS 39553-2629 · (717) 421-5490
Phone(717) 421-5490
Organization SubpartNo
Authorized OfficialJeanette ShabazzPresiden · (717) 421-5490
Enumeration DateApril 17, 2018
✔ NPI 1508353384 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MS · R885984
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.

4310 CHICOT ST, Pascagoula, MS 39581
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Other Names 1

Doing Business AsBaz Family Medical Clinic

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

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.Insurance ›

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 of Waiver 25D2151535

Baz Family Medical Clinic · Pascagoula, MS
Active · expires Jul 19, 2028
CLIA Number25D2151535
Laboratory TypePractitioner Other
Certificate Effective DateJuly 20, 2026
Certificate Expiration DateJuly 19, 2028
Laboratory DirectorJeanette Shabazz
Laboratory Phone(228) 205-4737
Laboratory LocationBaz Family Medical Clinic4310 Chicot Street, Pascagoula, MS 39581
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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.

PHYSICIANS CARE PLAZA
Durable Medical Equipment & Medical Supplies
4310 CHICOT ST
PASCAGOULA, MS 39581
Jackson County (228) 205-0617
MRS. KIMBERLY IRBY DOMINIQUE FNP
Nurse Practitioner (Family)
4310 CHICOT ST
PASCAGOULA, MS 39581
Jackson County (228) 205-4737

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 Baz Family Medical Clinic's NPI number?

The NPI number for Baz Family Medical Clinic is 1508353384. It was assigned to this organization in the NPPES registry on April 17, 2018.

Where is Baz Family Medical Clinic located?

Baz Family Medical Clinic is located at 4310 Chicot St, Pascagoula, MS 39581. The listed phone number is (717) 421-5490.

What is Baz Family Medical Clinic's specialty?

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

Does Baz Family Medical Clinic hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 25D2151535) is associated with this NPI, valid through July 19, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Baz Family Medical Clinic accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee and 1 other insurer list Baz Family Medical Clinic 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 Baz Family Medical Clinic was last updated on April 17, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.