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MISISSIPPI PROVIDENCE HEALTHCARE SERVICES, INC.
NPI 1639429970
Family Medicine in Moss Point, MS

Active since September 13, 2012
5907 HIGHWAY 90, MOSS POINT, MS 39563(228) 769-2611(228) 762-1638 Get Directions Write a Review

NPPES record last updated: January 22, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Misissippi Providence Healthcare Services, Inc. NPPES

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

MISISSIPPI PROVIDENCE HEALTHCARE SERVICES, INC. (NPI 1639429970) is a healthcare organization registered as a family medicine in Moss Point, Mississippi and active in the NPI registry since September 2012. The organization lists Clark P. Christianson, President, as its authorized official.

NPPES Registry Identity

NPI1639429970
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMISISSIPPI PROVIDENCE HEALTHCARE SERVICES, INC.
Location Address5907 HIGHWAY 90Moss Point, MS 39563-6536
Mailing AddressPo Box 850489Mobile, AL 36685-0489 · (251) 342-3949 · Fax (251) 631-3361
Phone(228) 769-2611
Fax(228) 762-1638
Organization SubpartNo
Authorized OfficialClark P. ChristiansonPresident · (251) 631-3574
Enumeration DateSeptember 13, 2012
Last NPPES UpdateJanuary 22, 2013
✔ NPI 1639429970 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.
5907 HIGHWAY 90, Moss Point, MS 39563
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Other Identifiers 1

Medicare PIN255707MS

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 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. PAUL S. FINEBURG M.D.
Family Medicine
5907 HIGHWAY 90
MOSS POINT, MS 39563
Jackson County (228) 769-2611
BROCK NATHANIEL BANKS M.D.
Family Medicine
5907 HIGHWAY 90
MOSS POINT, MS 39563
Jackson County (228) 769-2611
DR. MATTHEW WAYNE MURRAY M.D.
Family Medicine
5907 HIGHWAY 90
MOSS POINT, MS 39563
Jackson County (228) 769-2611
DR. KENNETH MICHAEL LONG D.O.
Family Medicine
5907 HIGHWAY 90
MOSS POINT, MS 39563
Jackson County (228) 769-2611
MIKA ALYECE CATCHOT
Nurse Practitioner (Family)
5907 HIGHWAY 90
MOSS POINT, MS 39563
Jackson County (228) 769-2611
DR. RICHARD S. WHITLOCK M.D.
Family Medicine
5907 HIGHWAY 90
MOSS POINT, MS 39563
Jackson County (228) 769-2611
PAULA L HELMLY CRNP
Nurse Practitioner (Family)
5907 HIGHWAY 90
MOSS POINT, MS 39563
Jackson County (228) 769-2611
DR. STEVEN B. FINEBURG MD
Family Medicine
5907 HIGHWAY 90
MOSS POINT, MS 39563
Jackson County (228) 769-2611

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 Misissippi Providence Healthcare Services, Inc.'s NPI number?

The NPI number for Misissippi Providence Healthcare Services, Inc. is 1639429970. It was assigned to this organization in the NPPES registry on September 13, 2012.

Where is Misissippi Providence Healthcare Services, Inc. located?

Misissippi Providence Healthcare Services, Inc. is located at 5907 Highway 90, Moss Point, MS 39563. The listed phone number is (228) 769-2611.

What is Misissippi Providence Healthcare Services, Inc.'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 Misissippi Providence Healthcare Services, Inc. was last updated on January 22, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.