Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

360 Medical Group Mississippi PC

Organization Family Medicine Physician · NPI 1912818386

360 Medical Group Mississippi PC provides Family Medicine Physician services in Gulfport, Mississippi. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1302 Magnolia St Unit 1-A5
Gulfport, MS 39507-4106
Phone: (833) 360-6388
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1912818386
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official James Villar — Administrator · (833) 360-6388
NPI enumeratedSeptember 15, 2026
Last updated in NPPESSeptember 15, 2026
Certification dateSeptember 15, 2026
Mailing address270 Trace Colony Park Dr Ste B, Ridgeland, MS 39157-8810

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