MEMORIAL HOSPITAL AT GULFPORT
NPI 1518394089
Internal Medicine in Bay St Louis, MS

Active since September 30, 2013
835 THAMES AVE, BAY ST LOUIS, MS 39520(228) 466-4977(228) 463-0827 Get Directions Write a Review

NPPES record last updated: January 9, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Memorial Hospital At Gulfport NPPES

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

MEMORIAL HOSPITAL AT GULFPORT (NPI 1518394089) is a healthcare organization registered as an internal medicine in Bay St Louis, Mississippi and active in the NPI registry since September 2013. The organization lists Peggy Lorraine Noonan, Physician Business Services Dir., as its authorized official.

NPPES Registry Identity

NPI1518394089
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameMEMORIAL HOSPITAL AT GULFPORT
Location Address835 THAMES AVEBay St Louis, MS 39520-5005
Mailing AddressPo Box 1810Gulfport, MS 39502-1810 · (228) 575-1700 · Fax (228) 575-1735
Fax(228) 463-0827
Organization SubpartNo
Authorized OfficialPeggy Lorraine NoonanPhysician Business Services Dir. · (228) 575-1740
Enumeration DateSeptember 30, 2013
Last NPPES UpdateJanuary 9, 2024
NPPES CertifiedJanuary 9, 2024
✔ NPI 1518394089 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedPediatricsTaxonomy 208000000X
Also ListedNurse PractitionerTaxonomy 363L00000X
835 THAMES AVE, Bay St Louis, MS 39520

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

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Memorial Hospital At Gulfport is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by March 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateMississippiEnrollment IDO20080515000774Part A · HospitalDue dateMarch 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

729

Medicare enrollment records show 729 clinicians reassign Medicare billing to Memorial Hospital At Gulfport, which bills Medicare for the services they deliver. Of these, 7 practice at this address and 29 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 47

Nurse Practitioner269
Certified Registered Nurse Anesthetist (CRNA)57
Internal Medicine57
Emergency Medicine49
Family Practice36
Obstetrics/Gynecology34
Pediatric Medicine27
Anesthesiology25
39 other specialties175

Nearest to this location (20)

See all 729
Internal Medicine
NPI 1831197862
835 THAMES AVE
Bay St Louis, MS 39520
(228) 466-4977
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1942443403
835 THAMES AVE
Bay St Louis, MS 39520
(228) 466-4977
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1972093714
835 THAMES AVE
Bay St Louis, MS 39520
(228) 466-4977
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1790925758
835 THAMES AVE
Bay St Louis, MS 39520
(228) 466-4977
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1316567415
835 THAMES AVE
Bay St Louis, MS 39520
(228) 575-2383
✔ PECOS✔ Accepts MedicareSame address
Pediatric Medicine
NPI 1942241922
833 HIGHWAY 90
Bay St Louis, MS 39520
(228) 396-3141
✔ PECOSSame address
General Surgery
NPI 1356349401
833 HIGHWAY 90 STE 1
Bay St Louis, MS 39520
(228) 575-2920
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1609076124
149 DRINKWATER RD
Bay St Louis, MS 39520
(228) 220-5200
✔ PECOS✔ Accepts Medicare0.1 mi
Obstetrics/Gynecology
NPI 1811061831
1009 BENIGNO LANE
Bay Saint Louis, MS 39520
(228) 467-2555
✔ PECOS✔ Accepts Medicare0.2 mi
Nurse Practitioner
NPI 1669762902
1009 BENIGNO LN. HANCOCK WOMEN'S CENTER
Bay St. Louis, MS 39520
(228) 467-2555
✔ PECOS✔ Accepts Medicare0.2 mi
Nurse Practitioner
NPI 1689195463
1009 BENIGNO LN
Bay Saint Louis, MS 39520
(228) 467-2555
✔ PECOS✔ Accepts Medicare0.2 mi
Nurse Practitioner
NPI 1003595703
1009 BENIGNO LN
Bay St Louis, MS 39520
(228) 467-2555
✔ PECOS✔ Accepts Medicare0.2 mi
Nurse Practitioner
NPI 1629300231
149 DRINKWATER BLVD
Bay Saint Louis, MS 39520
(228) 395-1255
✔ PECOS0.2 mi
Nurse Practitioner
NPI 1891027702
179 DRINKWATER RD
Bay St Louis, MS 39520
(228) 575-2929
✔ PECOS✔ Accepts Medicare0.2 mi
General Surgery
NPI 1619976636
202C DRINKWATER RD
Bay St Louis, MS 39520
(228) 463-8939
✔ PECOS✔ Accepts Medicare0.2 mi
Internal Medicine
NPI 1780687855
1001 BENIGNO LANE
Bay St Louis, MS 39520
(228) 467-1414
✔ PECOS✔ Accepts Medicare0.2 mi
Nurse Practitioner
NPI 1841642733
952 GREEN MEADOW RD
Bay Saint Louis, MS 39520
(228) 463-1649
✔ PECOS✔ Accepts Medicare0.2 mi
Internal Medicine
NPI 1053369801
952 GREEN MEADOW RD
Bay St Louis, MS 39520
(228) 463-1649
✔ PECOS✔ Accepts Medicare0.2 mi
Nurse Practitioner
NPI 1962854885
952 GREEN MEADOW RD
Bay St Louis, MS 39520
(228) 463-1649
✔ PECOS✔ Accepts Medicare0.2 mi
Family Practice
NPI 1427673532
45000 E ALOHA DR. STE A
Diamondhead, MS 39525
(228) 822-6006
✔ PECOS✔ Accepts Medicare4.2 mi
See all 729 clinicians

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 Memorial Hospital At Gulfport's NPI number?

The NPI number for Memorial Hospital At Gulfport is 1518394089. It was assigned to this organization in the NPPES registry on September 30, 2013.

Where is Memorial Hospital At Gulfport located?

Memorial Hospital At Gulfport is located at 835 Thames Ave, Bay St Louis, MS 39520. The listed phone number is (228) 466-4977.

What is Memorial Hospital At Gulfport's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Memorial Hospital At Gulfport enrolled in Medicare?

Yes. Memorial Hospital At Gulfport is registered in the Medicare PECOS enrollment system.

When is Memorial Hospital At Gulfport's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Part A enrollment for this organization (Mississippi, Hospital) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Memorial Hospital At Gulfport?

According to the CMS Revalidation Reassignment List (October 2026 release), 729 clinicians in 47 Medicare specialties reassign their Medicare billing to Memorial Hospital At Gulfport. 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 (269), Certified Registered Nurse Anesthetist (CRNA) (57) and Internal Medicine (57). Of these, 7 practice at this address and 29 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Memorial Hospital At Gulfport accept?

Health plans from Cigna Healthcare and Molina Healthcare list Memorial Hospital At Gulfport 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 Memorial Hospital At Gulfport was last updated on January 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.