CENTERWELL SENIOR PRIMARY CARE MS CS PC
NPI 1730980434
Internal Medicine in Biloxi, MS

Active since March 20, 2025
2650 BEACH BLVD STE 40, BILOXI, MS 39531(407) 447-7120 Get Directions Write a Review

NPPES record last updated: April 23, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Centerwell Senior Primary Care Ms Cs Pc NPPES

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

CENTERWELL SENIOR PRIMARY CARE MS CS PC (NPI 1730980434) is a healthcare organization registered as an internal medicine in Biloxi, Mississippi and active in the NPI registry since March 2025. The organization maintains a secondary practice location in Jonesville and lists Angie Martinez, Senior Credentialing Professional, as its authorized official.

NPPES Registry Identity

NPI1730980434
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameCENTERWELL SENIOR PRIMARY CARE MS CS PC
Location Address2650 BEACH BLVD STE 40Biloxi, MS 39531-4517
Mailing Address6101 Blue Lagoon Dr Ste 200Miami, FL 33126-3168 · (407) 447-7120 · Fax (407) 770-0661
Organization SubpartNo
Authorized OfficialAngie MartinezSenior Credentialing Professional · (407) 447-7120
Enumeration DateMarch 20, 2025
Last NPPES UpdateApril 23, 2025
NPPES CertifiedApril 23, 2025
✔ NPI 1730980434 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ 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.
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedGeneral PracticeTaxonomy 208D00000X
2650 BEACH BLVD STE 40, Biloxi, MS 39531

Secondary Practice Location 1

Location 1128 Plantation WayJonesville, SC 29353-2833 · Phone (407) 447-7120

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)

Centerwell Senior Primary Care Ms Cs Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

7

Medicare enrollment records show 7 clinicians reassign Medicare billing to Centerwell Senior Primary Care Ms Cs PC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (7)

Nurse Practitioner
NPI 1770221640
2650 BEACH BLVD STE 40
Biloxi, MS 39531
(305) 500-2000
✔ PECOSSame address
Nurse Practitioner
NPI 1164983060
2650 BEACH BLVD STE 40
Biloxi, MS 39531
(228) 273-4611
✔ PECOS0.1 mi
Family Practice
NPI 1649624693
114 MONUMENT PL STE A
Vicksburg, MS 39180
(601) 738-5075
✔ PECOS✔ Accepts Medicare173 mi
Internal Medicine
NPI 1316144280
810 SAINT VINCENTS DR
Birmingham, AL 35205
(205) 930-2564
✔ PECOS✔ Accepts Medicare251 mi
Nurse Practitioner
NPI 1942584982
106 E BROAD ST
Savannah, GA 31401
(912) 527-1017
✔ PECOS482 mi
Nurse Practitioner
NPI 1043808595
349 CALHOUN FALLS DR
Myrtle Beach, SC 29579
(843) 450-6000
✔ PECOS✔ Accepts Medicare636 mi
Family Practice
NPI 1508120122
15161 WILLOWWOOD CT
Grand Haven, MI 49417
(616) 402-8353
✔ PECOS886 mi

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 Centerwell Senior Primary Care Ms Cs PC's NPI number?

The NPI number for Centerwell Senior Primary Care Ms Cs PC is 1730980434. It was assigned to this organization in the NPPES registry on March 20, 2025.

Where is Centerwell Senior Primary Care Ms Cs PC located?

Centerwell Senior Primary Care Ms Cs PC is located at 2650 Beach Blvd Ste 40, Biloxi, MS 39531. The listed phone number is (407) 447-7120.

What is Centerwell Senior Primary Care Ms Cs PC's specialty?

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

Is Centerwell Senior Primary Care Ms Cs PC enrolled in Medicare?

Yes. Centerwell Senior Primary Care Ms Cs PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Centerwell Senior Primary Care Ms Cs PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 3 Medicare specialties reassign their Medicare billing to Centerwell Senior Primary Care Ms Cs PC. 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 (4), Family Practice (2) and Internal Medicine (1). Of these, 1 practice at this address and 2 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 Centerwell Senior Primary Care Ms Cs PC was last updated on April 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.