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

Memorial Hospital at Gulfport

Organization Family Medicine Physician · NPI 1518394089

Memorial Hospital at Gulfport is a Family Medicine Physician in Bay St Louis, Mississippi. Registered with an NPI since 2013.

In the registry since
2013
Specialties on file
4

Practice location Address checks out

835 Thames Ave
Bay St Louis, MS 39520-5005
Phone: (228) 466-4977
Fax: (228) 463-0827
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X
Family Medicine Physician Taxonomy 207Q00000X
Pediatrics Physician Taxonomy 208000000X
Nurse Practitioner Taxonomy 363L00000X

Record details

NPI number1518394089
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

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