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D'IBERVILLE MEDICAL CLINIC LLC
NPI 1629536925
Family Medicine in Diberville, MS

Active since March 05, 2019
11516 LAMEY BRIDGE RD, STE 1, DIBERVILLE, MS 39540(228) 207-4190(228) 207-4190 Get Directions Write a Review

NPPES record last updated: May 2, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 2, 2019, Mar 5, 2019 (2 updates tracked since 2019).

About D'iberville Medical Clinic Llc NPPES

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

D'IBERVILLE MEDICAL CLINIC LLC (NPI 1629536925) is a healthcare organization registered as a family medicine in Diberville, Mississippi and active in the NPI registry since March 2019. The organization lists Jerry R Adkins, Administrator, as its authorized official.

NPPES Registry Identity

NPI1629536925
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameD'IBERVILLE MEDICAL CLINIC LLC
Location Address11516 LAMEY BRIDGE RD, STE 1Diberville, MS 39540-2725
Mailing AddressPo Box 1277Biloxi, MS 39533-1277 · (228) 207-4190 · Fax (228) 207-4156
Phone(228) 207-4190
Fax(228) 207-4190
Organization SubpartNo
Authorized OfficialJerry R AdkinsAdministrator · (228) 861-6049
Enumeration DateMarch 5, 2019
Last NPPES UpdateMay 2, 20192 updates tracked since enumeration
✔ NPI 1629536925 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.
11516 LAMEY BRIDGE RD, Diberville, MS 39540
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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

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.

CAYLA SWITZER NP-C
Nurse Practitioner (Family)
11516 LAMEY BRIDGE RD, STE 2
DIBERVILLE, MS 39540
Harrison County (228) 207-4190
JBCHIRO1 LLC
Preferred Provider Organization
11516 LAMEY BRIDGE RD, SUITE E
DIBERVILLE, MS 39540
Harrison County (228) 207-6427

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 D'iberville Medical Clinic LLC's NPI number?

The NPI number for D'iberville Medical Clinic LLC is 1629536925. It was assigned to this organization in the NPPES registry on March 5, 2019.

Where is D'iberville Medical Clinic LLC located?

D'iberville Medical Clinic LLC is located at 11516 Lamey Bridge Rd Ste 1, Diberville, MS 39540. The listed phone number is (228) 207-4190.

What is D'iberville Medical Clinic LLC'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 D'iberville Medical Clinic LLC was last updated on May 2, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.