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

Primary Care Medical Center of Gulfport, PLLC

Organization Family Medicine Physician · NPI 1427271840

Primary Care Medical Center of Gulfport, PLLC is a Family Medicine Physician in Gulfport, Mississippi. Registered with an NPI since 2007.

In the registry since
2007
Specialties on file
2
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

15444 Dedeaux Rd Ste B
Gulfport, MS 39503-2637
Phone: (228) 832-9038
Fax: (228) 832-9990
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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
Occupational Medicine Physician Taxonomy 2083X0100X

Record details

NPI number1427271840
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Angela McClure — Insurance Clerk · (228) 832-9038
NPI enumeratedApril 11, 2007
Last updated in NPPESJuly 13, 2007
Mailing address15444 Dedeaux Rd, Ste. B, Gulfport, MS 39503-2637

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