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OCHSNER MISSISSIPPI, LLC
NPI 1639766132
Internal Medicine in Gulfport, MS

Active since December 30, 2020
4502 OLD PASS RD, GULFPORT, MS 39501(228) 863-9977(228) 863-9912 Get Directions Write a Review

NPPES record last updated: December 30, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Ochsner Mississippi, Llc NPPES

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

OCHSNER MISSISSIPPI, LLC (NPI 1639766132), doing business as Ochsner Health Center - Downtown, is a healthcare organization registered as an internal medicine in Gulfport, Mississippi and active in the NPI registry since December 2020. The organization lists Eduardo Benitez, Director, as its authorized official.

NPPES Registry Identity

NPI1639766132
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameOCHSNER MISSISSIPPI, LLC
Location Address4502 OLD PASS RDGulfport, MS 39501-2585
Mailing Address1514 Jefferson HwyNew Orleans, LA 70121-2429 · (504) 842-4000
Phone(228) 863-9977
Fax(228) 863-9912
Organization SubpartYes
Authorized OfficialEduardo BenitezDirector · (504) 430-0025
Enumeration DateDecember 30, 2020
NPPES CertifiedDecember 30, 2020
✔ NPI 1639766132 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
4502 OLD PASS RD, Gulfport, MS 39501
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Other Names 1

Doing Business AsOchsner Health Center - Downtown

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ochsner Mississippi, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

324

Medicare enrollment records show 324 clinicians reassign Medicare billing to Ochsner Mississippi, LLC, which bills Medicare for the services they deliver. Of these, 7 practice at this address and 21 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 36

Nurse Practitioner61
Diagnostic Radiology47
Family Practice27
Pathology27
Internal Medicine26
Certified Registered Nurse Anesthetist (CRNA)17
Obstetrics/Gynecology16
Neurology14
28 other specialties89

Nearest to this location (20)

See all 324
Ashley Dean-Reaves, NP
Nurse Practitioner
NPI 1962950303
4502 OLD PASS RD
Gulfport, MS 39501
(228) 863-9977
✔ PECOS✔ Accepts MedicareSame address
Donald Gaddy, M.D.
Obstetrics/Gynecology
NPI 1659358869
4502 OLD PASS RD
Gulfport, MS 39501
(228) 863-9977
✔ PECOS✔ Accepts MedicareSame address
Kathrine Gaddy, CWHNP
Nurse Practitioner
NPI 1538287479
4502 OLD PASS RD
Gulfport, MS 39501
(228) 863-9977
✔ PECOS✔ Accepts MedicareSame address
Alyse Hussey, NP-C
Nurse Practitioner
NPI 1093485070
4502 OLD PASS RD
Gulfport, MS 39501
(228) 863-9977
✔ PECOS✔ Accepts MedicareSame address
Charles Robinson, M.D.
Obstetrics/Gynecology
NPI 1487631750
4502 OLD PASS RD
Gulfport, MS 39501
(228) 863-9977
✔ PECOSSame address
David Taylor, M.D.
Obstetrics/Gynecology
NPI 1508186990
4502 OLD PASS RD
Gulfport, MS 39501
(228) 863-9977
✔ PECOS✔ Accepts MedicareSame address
Kimberly Williams, CNM
Certified Nurse Midwife (CNM)
NPI 1235107004
4502 OLD PASS RD
Gulfport, MS 39501
(228) 863-9977
✔ PECOSSame address
Stephanie Ladner, NP
Nurse Practitioner
NPI 1285446096
111 N CLEVELAND AVE
Long Beach, MS 39560
(228) 220-5200
✔ PECOS✔ Accepts Medicare2.2 mi
Angela Lafontaine, MSN, APRN, FNP-C
Nurse Practitioner
NPI 1962154062
14231 SEAWAY RD STE 3004
Gulfport, MS 39503
(228) 206-1905
✔ PECOS✔ Accepts Medicare5.1 mi
Stephanie Damitio, C.R.N.A
Certified Registered Nurse Anesthetist (CRNA)
NPI 1447585435
15190 COMMUNITY RD STE 230A
Gulfport, MS 39503
(228) 831-0204
✔ PECOS✔ Accepts Medicare5.3 mi
Taylor Hairston, DO
Family Practice
NPI 1255950416
15190 COMMUNITY RD
Gulfport, MS 39503
(228) 220-5200
✔ PECOS✔ Accepts Medicare5.3 mi
Dona Kioseff, MD
Obstetrics/Gynecology
NPI 1285122622
15190 COMMUNITY RD
Gulfport, MS 39503
(228) 539-7044
✔ PECOS✔ Accepts Medicare5.3 mi
Eric Letonoff, DO
Orthopedic Surgery
NPI 1306872171
15190 COMMUNITY RD STE 120
Gulfport, MS 39503
(228) 205-6825
✔ PECOS✔ Accepts Medicare5.3 mi
Claudia Sampong, DO
Obstetrics/Gynecology
NPI 1477080836
15190 COMMUNITY RD
Gulfport, MS 39503
(228) 539-7044
✔ PECOS✔ Accepts Medicare5.3 mi
Jenna Marciante, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1972936219
15200 COMMUNITY RD
Gulfport, MS 39503
(228) 575-7000
✔ PECOS✔ Accepts Medicare5.3 mi
Magdy Gorgi-Mikhail, MD
Internal Medicine
NPI 1619993367
1107 COWAN RD STE C&D
Gulfport, MS 39507
(228) 523-8801
✔ PECOS✔ Accepts Medicare5.7 mi
Kimberly Choina-Karamat, ACNP-BC
Nurse Practitioner
NPI 1962704957
1800 BEACH DR
Gulfport, MS 39507
(228) 897-4471
✔ PECOS✔ Accepts Medicare6.0 mi
Paul Matherne, MD
Family Practice
NPI 1730245739
1924 E PASS RD
Gulfport, MS 39507
(228) 388-4862
✔ PECOS✔ Accepts Medicare6.5 mi
Grace Pearson, FNP-C
Nurse Practitioner
NPI 1538825252
12303 HIGHWAY 49
Gulfport, MS 39503
(228) 206-6882
✔ PECOS✔ Accepts Medicare6.7 mi
Richard Orange, MD
Diagnostic Radiology
NPI 1164514915
180 DEBUYS RD
Biloxi, MS 39530
(228) 436-1111
✔ PECOS✔ Accepts Medicare7.2 mi
See all 324 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 Ochsner Mississippi, LLC's NPI number?

The NPI number for Ochsner Mississippi, LLC is 1639766132. It was assigned to this organization in the NPPES registry on December 30, 2020. The provider is doing business as Ochsner Health Center - Downtown.

Where is Ochsner Mississippi, LLC located?

Ochsner Mississippi, LLC is located at 4502 Old Pass Rd, Gulfport, MS 39501. The listed phone number is (228) 863-9977.

What is Ochsner Mississippi, LLC's specialty?

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

Is Ochsner Mississippi, LLC enrolled in Medicare?

Yes. Ochsner Mississippi, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Ochsner Mississippi, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 324 clinicians in 36 Medicare specialties reassign their Medicare billing to Ochsner Mississippi, LLC. 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 (61), Diagnostic Radiology (47) and Family Practice (27). Of these, 7 practice at this address and 21 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Ochsner Mississippi, LLC was last updated on December 30, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.