Data Notice: All results sourced from the public CMS NPPES NPI Registry (45 CFR Part 162), for healthcare administrative use only (credentialing, billing, insurance verification). Not for law enforcement or legal proceedings. Not affiliated with CMS, HHS, or the US Government. Verify critical details at npiregistry.cms.hhs.gov. No queries stored.
Export Provider Record NPI 1104477710
Memorial Hospital At Gulfport
Organization Subpart: NO
Active
NPI Number1104477710
NPI TypeNPI-2 Organization
SpecialtyFamily Medicine
Provider Details
NPI1104477710
NPI TypeNPI-2 Organization
StatusActive
Enumeration Date2019-09-25
Last Updated2024-01-09
Authorized OfficialPeggy Noonan
Physician Business Services Dir.
Phone: 2285751740
Mailing Address1440 Central Ave E
Wiggins, MS 39577-9602
United States
Phone: (601) 928-6600 | Fax: (601) 928-6610
📍 View Map
Primary Practice Address1440 Central Ave E
Wiggins, MS 39577-9602
United States
Phone: (601) 928-6600 | Fax: (601) 928-6610
📍 View Map
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
Yes207Q00000X – Family Medicine--
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About NPI 1104477710

Memorial Hospital At Gulfport is an organization registered in the CMS NPPES NPI Registry with NPI number 1104477710. The primary specialty listed is Family Medicine. The organization is located in Wiggins, MS. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2019-09-25. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1104477710?

NPI 1104477710 belongs to Memorial Hospital At Gulfport, a Family Medicine in Wiggins, MS. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.

Is NPI 1104477710 active?

The current status of NPI 1104477710 in the NPPES registry is Active. The record was last updated on 2024-01-09.

What specialty is NPI 1104477710?

NPI 1104477710 is classified under the taxonomy Family Medicine. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1104477710?

You can verify NPI 1104477710 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1104477710?

The primary practice address on file for NPI 1104477710 is 1440 Central Ave E, Wiggins, MS 39577-9602. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1104477710 issued?

NPI 1104477710 was first issued (enumerated) on 2019-09-25. The NPPES record was last updated on 2024-01-09.

Practice Location Map

Memorial Hospital At Gulfport is located at 1440 Central Ave E, Wiggins, MS. Use the map below to find directions or verify the practice location.

📍 1440 Central Ave E, Wiggins, MS 39577-9602  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Memorial Hospital At Gulfport. All records sourced from the CMS NPPES registry.

Data Verified from CMS NPPES Last synced: 2026-08-10 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162