GAUTIER MEDICAL CLINIC
NPI 1992728158
Family Medicine in Gautier, MS

Active since July 26, 2006
3300 LADNIER RD, GAUTIER, MS 39553(228) 497-2652(228) 497-6253 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Gautier Medical Clinic NPPES

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

GAUTIER MEDICAL CLINIC (NPI 1992728158) is a healthcare organization registered as a family medicine in Gautier, Mississippi and active in the NPI registry since July 2006. The organization lists Rick D Hoover, Physician Owner, as its authorized official.

NPPES Registry Identity

NPI1992728158
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePREVENTATIVE MEDICINE & PRIMARY CARE LLC
Location Address3300 LADNIER RDGautier, MS 39553
Mailing Address3300 Ladnier RdGautier, MS 39553 · (228) 497-2652 · Fax (228) 497-6253
Fax(228) 497-6253
Organization SubpartNo
Authorized OfficialRick D HooverPhysician Owner · (228) 497-2652
Enumeration DateJuly 26, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1992728158 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
3300 LADNIER RD, Gautier, MS 39553

Other Names 1

Doing Business AsGautier Medical Clinic

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Gautier Medical Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Gautier Medical Clinic, which bills Medicare for the services this clinician delivers.

Clinician (1)

Family Practice
NPI 1962493577
3300 LADNIER RD
Gautier, MS 39553
(228) 497-2652
✔ PECOS✔ Accepts MedicareSame address

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 Preventative Medicine & Primary Care LLC's NPI number?

The NPI number for Preventative Medicine & Primary Care LLC is 1992728158. It was assigned to this organization in the NPPES registry on July 26, 2006. The provider is doing business as Gautier Medical Clinic.

Where is Preventative Medicine & Primary Care LLC located?

Preventative Medicine & Primary Care LLC is located at 3300 Ladnier Rd, Gautier, MS 39553. The listed phone number is (228) 497-2652.

What is Preventative Medicine & Primary Care LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Preventative Medicine & Primary Care LLC enrolled in Medicare?

Yes. Preventative Medicine & Primary Care LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Preventative Medicine & Primary Care LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Preventative Medicine & Primary Care LLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Preventative Medicine & Primary Care LLC accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 1 other insurer list Preventative Medicine & Primary Care LLC 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 Preventative Medicine & Primary Care LLC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.