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BILOXI INTERNAL MEDICINE CLINIC PA
NPI 1962464438
Internal Medicine in Biloxi, MS

Active since April 03, 2006CLIA 25D0319601 · Waiver
147 REYNOIR STREET, SUITE 204, BILOXI, MS 39530(228) 374-2051(228) 374-5741 Get Directions Write a Review

NPPES record last updated: May 2, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Biloxi Internal Medicine Clinic Pa NPPES

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

BILOXI INTERNAL MEDICINE CLINIC PA (NPI 1962464438) is a healthcare organization registered as an internal medicine in Biloxi, Mississippi and active in the NPI registry since April 2006. The organization holds a CLIA Waiver certificate valid through February 21, 2028 and lists Marion Jean Wainwright, President, as its authorized official.

NPPES Registry Identity

NPI1962464438
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameBILOXI INTERNAL MEDICINE CLINIC PA
Location Address147 REYNOIR STREET, SUITE 204Biloxi, MS 39530
Mailing Address147 Reynoir Street, Suite 204Biloxi, MS 39530 · (228) 374-2051 · Fax (228) 374-5741
Phone(228) 374-2051
Fax(228) 374-5741
Organization SubpartNo
Authorized OfficialMarion Jean WainwrightPresident · (228) 374-2051
Enumeration DateApril 3, 2006
Last NPPES UpdateMay 2, 2008
✔ NPI 1962464438 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.
147 REYNOIR STREET, Biloxi, MS 39530
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Other Identifiers 2

Medicare ID-Type Unspecified0285
Medicaid09012028MS

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.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 25D0319601

Biloxi Internal Medicine Clinic PA · Biloxi, MS
Active · expires Feb 21, 2028
CLIA Number25D0319601
Laboratory TypePhysician Office
Certificate Effective DateFebruary 22, 2026
Certificate Expiration DateFebruary 21, 2028
Laboratory DirectorBennett W. Cheney
Laboratory Phone(228) 374-2051
Laboratory LocationBiloxi Internal Medicine Clinic PA147 Reynoir St Ste 101, Biloxi, MS 39530
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 6

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

BENNETT W CHENEY MD
Internal Medicine
147 REYNOIR STREET, SUITE 204
BILOXI, MS 39530
Harrison County (228) 374-2051
DR. ANDREW J. PETERSON D.O.
Internal Medicine
147 REYNOIR STREET, SUITE 101
BILOXI, MS 39530
Harrison County (228) 374-2051
KIRSTEN MARIE PINTO NP
Nurse Practitioner
147 REYNOIR STREET, SUITE 204
BILOXI, MS 39530
Harrison County (228) 374-2051
REGINA CLARE MILLS MD
Internal Medicine
147 REYNOIR STREET, SUITE 101
BILOXI, MS 39530
Harrison County (228) 374-2051
DR. YASHASHREE L BETHALA MD
Internal Medicine
147 REYNOIR STREET, SUITE 101
BILOXI, MS 39530
Harrison County (228) 374-2051
GHOLAM REZA MOTAKHAVERI MD
Internal Medicine
147 REYNOIR STREET, SUITE 204
BILOXI, MS 39530
Harrison County (228) 374-2051

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 Biloxi Internal Medicine Clinic PA's NPI number?

The NPI number for Biloxi Internal Medicine Clinic PA is 1962464438. It was assigned to this organization in the NPPES registry on April 3, 2006.

Where is Biloxi Internal Medicine Clinic PA located?

Biloxi Internal Medicine Clinic PA is located at 147 Reynoir Street Suite 204, Biloxi, MS 39530. The listed phone number is (228) 374-2051.

What is Biloxi Internal Medicine Clinic PA's specialty?

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

Does Biloxi Internal Medicine Clinic PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 25D0319601) is associated with this NPI, valid through February 21, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Biloxi Internal Medicine Clinic PA accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee and 1 other insurer list Biloxi Internal Medicine Clinic PA 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 Biloxi Internal Medicine Clinic PA was last updated on May 2, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.