Dustin Marmalich, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

25543 Issued in MS

Practice address

4013 Beatline Rd Ste a
Long Beach, MS 39560

Phone

(228) 200-0720

Fax

(228) 200-0383

NPI assigned

Apr 16, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• BHG Lxxii, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Mobile, AL
  • NPI 1699440149
  Medicare reassignment NPD
• Safe Harbor Clinic LLC

  • Psychiatry Physician
  • Long Beach, MS
  • NPI 1699242891
  NPD Authorized official
• BHG Lxxii, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Montgomery, AL
  • NPI 1598443749
  NPD
• Mississippi Drug and Alcohol Treatment Center LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Biloxi, MS
  • NPI 1154868248
  NPD (past)
• Oceans Behavioral Hospital of Biloxi LLC

  • Psychiatric Hospital
  • Biloxi, MS
  • NPI 1063989010
  NPD (past)

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

{
    "created_epoch": "1397606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755820800000",
    "number": "1093135154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4013 BEATLINE RD STE A",
            "city": "LONG BEACH",
            "state": "MS",
            "postal_code": "395604135",
            "telephone_number": "228-200-0720",
            "fax_number": "228-200-0383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4013 BEATLINE RD STE A",
            "city": "LONG BEACH",
            "state": "MS",
            "postal_code": "39560",
            "telephone_number": "228-200-0720",
            "fax_number": "228-200-0383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARMALICH",
        "first_name": "DUSTIN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-16",
        "last_updated": "2025-08-22",
        "certification_date": "2025-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MS",
            "license": "25543",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04334707",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Long Beach Physical Therapy, LLC
• Long Beach Precision Vision LLC
• Amber Lynn Lowe, LMSW
• Gerri Mack, FNP-C
• Laurel Malley, RPH
• Thea Rochelle Martin, LMT,
• Max M Edrington Optometrist PA
• Beth K McGee, LPN
• Emily McDermott McGinity, DPT
• Medical Foundation of South Ms

• Psychiatry Physician in Long Beach, MS
• Providers in Long Beach, MS by specialty
• Psychiatry Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.