Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Memorial Hospital at Gulfport

Organization Family Medicine Physician · NPI 1346677812

Memorial Hospital at Gulfport is a Family Medicine Physician in Diamondhead, Mississippi. Works from 2 locations. Registered with an NPI since 2013.

In the registry since
2013
Specialties on file
6
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Practice location Address checks out

4300 Leisure Time Dr Ste A
Diamondhead, MS 39525-3241
Phone: (228) 255-4300
Fax: (228) 255-3626
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 45000 E Aloha Dr, Diamondhead, MS 39525-3373 — (228) 822-6006

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Gastroenterology Physician Taxonomy 207RG0100X
Nephrology Physician Taxonomy 207RN0300X
Neurological Surgery Physician Taxonomy 207T00000X
Orthopaedic Surgery Physician Taxonomy 207X00000X
Nurse Practitioner Taxonomy 363L00000X

Record details

NPI number1346677812
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Peggy Noonan — Physician Business Services Dir. · (228) 575-1740
NPI enumeratedSeptember 30, 2013
Last updated in NPPESJanuary 9, 2024
Certification dateJanuary 9, 2024
Mailing addressPo Box 1810, Gulfport, MS 39502-1810

Other providers in Diamondhead