NORWOOD VILLAGE MEDICAL
NPI 1679509293
Pediatrics in Gulfport, MS

Active since June 24, 2006
12100 HIGHWAY 49, GULFPORT, MS 39503(228) 831-1988(228) 831-1978 Get Directions Write a Review

NPPES record last updated: May 23, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Pediatrics

About NORWOOD VILLAGE MEDICAL

This page provides the complete NPI Profile along with additional information for Norwood Village Medical, a pediatrician established in Gulfport, Mississippi operating as a Pediatrics. The healthcare provider is registered in the NPI registry with number 1679509293 assigned on June 2006. The practitioner's primary taxonomy code is 208000000X. The provider is registered as an organization and their NPI record was last updated 18 years ago. Norwood Village Medical operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Norwood Village Medical. The authorized official of this NPI record is Mr. Randy Robinson (Administrator)

NPI
1679509293 Verify this NPI
Provider Legal Name
MEDICAL FOUNDATION OF SOUTH MS
Other Organization Name
NORWOOD VILLAGE MEDICAL
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
12100 HIGHWAY 49 GULFPORT, MS 39503
Location Phone
(228) 831-1988
Location Fax
(228) 831-1978
Mailing Address
1612 31ST AVE GULFPORT, MS 39501
Mailing Phone
(228) 865-1453
Mailing Fax
(228) 865-1451
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-24-2006
Last Update Date
05-23-2008
Code Navigator

A pediatrician like Norwood Village Medical is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pediatrics

Taxonomy Code
208000000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207K00000XAllopathic & Osteopathic Physicians

Allergy & Immunology

 
2207Q00000XAllopathic & Osteopathic Physicians

Family Medicine

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. RANDY ROBINSON

Authorized Official Title
ADMINISTRATOR
Authorized Official Phone
(228) 865-1453

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
C02001MEDICARE PIN (08)MS 
09014414MEDICAID (05)MS 
C02232MEDICARE PIN (08)MS 
C02169MEDICARE PIN (08)MS 
CA5893MEDICARE PIN (08)MS 
C02105MEDICARE PIN (08)MS 

Reviews for NORWOOD VILLAGE MEDICAL

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Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Allergy & Immunology
12100 HIGHWAY 49
GULFPORT, MS 39503
Pediatrics
12100 HIGHWAY 49
GULFPORT, MS 39503
Nurse Practitioner (Pediatrics)
12100 HIGHWAY 49
GULFPORT, MS 39503

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1679509293, enumerated as an "organization" on June 24, 2006.

The provider is located at 12100 HIGHWAY 49 GULFPORT, MS 39503 and the phone number is (228) 831-1988.

Pediatrics with taxonomy code 208000000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.