CENTERWELL SENIOR PRIMARY CARE-BILOXI
NPI 1841902830
Internal Medicine in Biloxi, MS

Q: What is Centerwell Senior Primary Care Ms PC's NPI number?

The NPI number for Centerwell Senior Primary Care Ms PC is 1841902830. It was assigned to this organization in the NPPES registry on December 21, 2022. The provider is doing business as Centerwell Senior Primary Care-Biloxi.

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

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

Active since December 21, 2022CLIA 25D2275615 · Waiver

2650 BEACH BLVD STE 40, BILOXI, MS 39531(228) 273-4611(877) 258-1526 Get Directions Write a Review

NPPES record last updated: July 3, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 3, 2024, Aug 11, 2023, Dec 21, 2022 (3 updates tracked since 2022).

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About Centerwell Senior Primary Care-biloxi NPPES

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

CENTERWELL SENIOR PRIMARY CARE-BILOXI (NPI 1841902830) is a healthcare organization registered as an internal medicine in Biloxi, Mississippi and active in the NPI registry since December 2022. The organization holds a CLIA Waiver certificate valid through January 24, 2027 and lists Angie Martinez, Senior Credentialing Professional, as its authorized official.

NPPES Registry Identity

NPI1841902830

Entity TypeOrganization

Primary Taxonomy207R00000X

Legal Business NameCENTERWELL SENIOR PRIMARY CARE MS PC

Location Address2650 BEACH BLVD STE 40Biloxi, MS 39531-4517

Mailing Address6101 Blue Lagoon Dr Ste 200Miami, FL 33126-3168 · (305) 500-2000

Phone(228) 273-4611

Fax(877) 258-1526

Organization SubpartYes

Authorized OfficialAngie MartinezSenior Credentialing Professional · (407) 447-7120

Enumeration DateDecember 21, 2022

Last NPPES UpdateJuly 3, 20243 updates tracked since enumeration

NPPES CertifiedJuly 3, 2024

✔ NPI 1841902830 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

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Other Names 1

Doing Business AsCenterwell Senior Primary Care-biloxi

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

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 25D2275615

Centerwell Senior Primary Care-Biloxi · Biloxi, MS

Active · expires Jan 24, 2027

CLIA Number25D2275615

Laboratory TypePhysician Office

Certificate Effective DateJanuary 25, 2025

Certificate Expiration DateJanuary 24, 2027

Laboratory DirectorDr. Earl K. Magee

Laboratory Phone(228) 273-4611

Laboratory LocationCenterwell Senior Primary Care-Biloxi2650 Beach Blvd Ste 40, Biloxi, MS 39531

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 9

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

DENISE D JONES NP

Nurse Practitioner (Family)