NPIMap

Organization Active NPI

Memorial Hospital at Gulfport

  • Pediatrics Physician
  • Ocean Springs, MS
National Provider Identifier
1043132541
Registry record updated Jul 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
MEMORIAL HOSPITAL AT GULFPORT
Practice address
3631 Bienville Blvd Ste a
Ocean Springs, MS 39564-5702
Phone
(228) 818-0585
Fax
(228) 818-0588
NPI assigned
Jul 27, 2026
Last updated
Jul 27, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Danielle Lyons
Title
Manager, Payor Enrollment
Phone
(228) 822-6086

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X NU Primary

Addresses

Primary practice location

3631 Bienville Blvd Ste a
Ocean Springs, MS 39564-5702

Mailing address

PO Box 1810
Gulfport, MS 39502-1810
Phone (228) 867-4000

National Provider Directory

National Provider Directory
Tax ID family
Memorial Hospital21 organizations share this tax ID, including this one

Other organizations with this tax ID 20

Organizations that report the same tax identification number in the National Provider Directory.

View all 20

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1785110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785110400000",
    "number": "1043132541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1810",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395021810",
            "telephone_number": "228-867-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3631 BIENVILLE BLVD STE A",
            "city": "OCEAN SPRINGS",
            "state": "MS",
            "postal_code": "395645702",
            "telephone_number": "228-818-0585",
            "fax_number": "228-818-0588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEMORIAL HOSPITAL AT GULFPORT",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-27",
        "last_updated": "2026-07-27",
        "certification_date": "2026-07-27",
        "status": "A",
        "authorized_official_last_name": "LYONS",
        "authorized_official_first_name": "DANIELLE",
        "authorized_official_title_or_position": "MANAGER, PAYOR ENROLLMENT",
        "authorized_official_telephone_number": "228-822-6086"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocean Springs, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.