Immediate Family Clinic

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

License

R791344 Issued in MS

Legal business name

IMMEDIATE FAMILY CLINIC

Practice address

2490 Pass Rd
Biloxi, MS 39531-2838

Phone

(228) 385-3774

Fax

(228) 385-3776

NPI assigned

Dec 28, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Greg G Parker

Title

FNP

Phone

(228) 385-3774

Specialties & licenses 2

Addresses

Other identifiers 2

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

{
    "created_epoch": "1261958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1261958400000",
    "number": "1093045908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2490 PASS RD",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "395312838",
            "telephone_number": "228-385-3774",
            "fax_number": "228-385-3776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2490 PASS RD",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "395312838",
            "telephone_number": "228-385-3774",
            "fax_number": "228-385-3776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMMEDIATE FAMILY CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-28",
        "last_updated": "2009-12-28",
        "status": "A",
        "authorized_official_last_name": "PARKER",
        "authorized_official_first_name": "GREG",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "FNP",
        "authorized_official_telephone_number": "228-385-3774",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "MS",
            "license": "R791344",
            "primary": true
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "MS",
            "license": "R868142",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1811132285",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1255343570",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Frank Hughes
• Donavan Huhn, PTA
• Vickie Ann Hurst, CRTT
• Justin M Hyde, R.D.
• Illuminated Direction
• Yashica R Inman
• Integrated Behavioral Health, PLLC
• Integrated Medical and Wellness Clinic of Mississippi LLC
• Iop Behavioral Health, LLC
• Lori Dee Isaac

• Urgent Care Clinic/Center in Biloxi, MS
• Providers in Biloxi, MS by specialty
• Urgent Care Clinic/Center in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2009; 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.