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

Orange Grove Medical Specialties, PA

Organization Internal Medicine Physician · NPI 1295928893

Orange Grove Medical Specialties, PA is an Internal Medicine Physician in Gulfport, Mississippi. Registered with an NPI since 2007.

In the registry since
2007
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

15286 Community Rd
Gulfport, MS 39503-3509
Phone: (228) 832-5151
Fax: (228) 832-6320
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X

Record details

NPI number1295928893
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lisa Leatherwood — Manager · (228) 832-5151
NPI enumeratedAugust 27, 2007
Last updated in NPPESMay 15, 2015
Mailing address15286 Community Rd, Gulfport, MS 39503

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