MEMORIAL HOSPITAL AT GULFPORT
NPI 1700213279
Hospitalist in Gulfport, MS

Active since September 30, 2013
4500 13TH ST, GULFPORT, MS 39501(228) 867-5201(228) 867-3152 Get Directions Write a Review

NPPES record last updated: January 9, 2024. Verified against the NPPES registry weekly; last sync: October 25, 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 1700213279) is a healthcare organization registered as a hospitalist in Gulfport, 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

NPI1700213279
Entity TypeOrganization
Primary Taxonomy208M00000X
Legal Business NameMEMORIAL HOSPITAL AT GULFPORT
Location Address4500 13TH STGulfport, MS 39501-2515
Mailing AddressPo Box 1810Gulfport, MS 39502-1810 · (228) 575-1700 · Fax (228) 575-1935
Fax(228) 867-3152
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 1700213279 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X
Also ListedNurse PractitionerTaxonomy 363L00000X
4500 13TH ST, Gulfport, MS 39501

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, 99 practice at this address and 331 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
Pulmonary Disease
NPI 1730491036
4500 13TH ST
Gulfport, MS 39501
(228) 867-4000
✔ PECOS✔ Accepts MedicareSame address
Anesthesiology
NPI 1215565148
4500 13TH ST
Gulfport, MS 39501
(228) 861-5571
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1669624078
4500 13TH ST GULFPORT MEMORIAL HOSPITAL
Gulfport, MS 39501
(228) 867-4396
✔ PECOS✔ Accepts MedicareSame address
Certified Registered Nurse Anesthetist (CRNA)
NPI 1215217013
4500 13TH ST
Gulfport, MS 39501
(228) 867-4000
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1780148874
4500 13TH ST
Gulfport, MS 39501
(228) 575-2020
✔ PECOS✔ Accepts MedicareSame address
Emergency Medicine
NPI 1932516945
4500 13TH ST
Gulfport, MS 39501
(228) 575-2000
✔ PECOSSame address
Nurse Practitioner
NPI 1376300566
4500 13TH ST
Gulfport, MS 39501
(228) 867-4000
✔ PECOS✔ Accepts MedicareSame address
Cardiovascular Disease (Cardiology)
NPI 1700346483
4500 13TH ST
Gulfport, MS 39501
(228) 867-4000
✔ PECOS✔ Accepts MedicareSame address
Certified Registered Nurse Anesthetist (CRNA)
NPI 1437864303
4500 13TH ST
Gulfport, MS 39501
(228) 865-3281
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1609865682
4500 13TH ST
Gulfport, MS 39501
(228) 376-0577
✔ PECOS✔ Accepts MedicareSame address
Hospitalist
NPI 1538864475
4500 13TH ST
Gulfport, MS 39501
(228) 867-4968
✔ PECOS✔ Accepts MedicareSame address
Emergency Medicine
NPI 1265589089
4500 13TH ST
Gulfport, MS 39502
(601) 672-3173
✔ PECOS✔ Accepts MedicareSame address
Hospitalist
NPI 1851887061
4500 13TH ST
Gulfport, MS 39501
(228) 867-4000
✔ PECOS✔ Accepts MedicareSame address
Pediatric Medicine
NPI 1487236295
4500 13TH ST
Gulfport, MS 39501
(228) 867-4000
✔ PECOSSame address
Family Practice
NPI 1760564801
4500 13TH ST
Gulfport, MS 39501
(228) 865-3151
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1578806873
4500 13TH STREET
Gulfport, MS 39501
(228) 867-4396
✔ PECOS✔ Accepts MedicareSame address
Pulmonary Disease
NPI 1538196142
4500 13TH ST
Gulfport, MS 39501
(228) 867-4000
✔ PECOS✔ Accepts MedicareSame address
Anesthesiology
NPI 1821059676
4500 13TH ST
Gulfport, MS 39501
(228) 867-4000
✔ PECOS✔ Accepts MedicareSame address
Pain Management
NPI 1730379231
4500 13TH ST
Gulfport, MS 39501
(228) 867-5006
✔ PECOS✔ Accepts MedicareSame address
Physical Therapist in Private Practice
NPI 1972857712
4500 13TH ST
Gulfport, MS 39501
(228) 867-4697
✔ Accepts MedicareSame address
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 1700213279. 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 4500 13th St, Gulfport, MS 39501. The listed phone number is (228) 867-5201.

What is Memorial Hospital At Gulfport's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

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, 99 practice at this address and 331 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 Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 3 other insurers 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.