NPIMap

Individual provider Active NPI

Matthew Jacob Murray, MD

  • Internal Medicine Physician
  • Gulfport, MS
National Provider Identifier
1104238153
Registry record updated Jan 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
29161 Issued in MS
Practice address
12330 Ashley Dr
Gulfport, MS 39503-2737
Phone
(228) 831-1572
Fax
(228) 831-1218
NPI assigned
May 27, 2014
Last updated
Jan 17, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 29161 MS Primary

Addresses

Primary practice location

12330 Ashley Dr
Gulfport, MS 39503-2737

Mailing address

2101 Highway 90
Gautier, MS 39553-5340
Phone (228) 497-7576

Other identifiers 1

IdentifierTypeStateIssuer
Q028297MedicaidTN

Other names 1

  • Jack Murray Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220122000084 MS Practitioner - Internal Medicine 0042513673 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Mississippi School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Memorial Hospital at GulfportGroup PAC ID 2466524012, 473 clinicians
Exceed Physical Therapy, LLCGroup PAC ID 8123378338, 72 clinicians
McClendon Medical Clinic PLLCGroup PAC ID 6103129945, 5 clinicians

Practice addresses (Care Compare)

12261 Hwy 49
Gulfport, MS 39503-2975
Phone (228) 867-5185

12261 Hwy 49
Gulfport, MS 39503-2976
Phone (228) 265-7185

1340 Broad Ave
Gulfport, MS 39501-2460

1340 Broad Ave
Gulfport, MS 39501-2465

22 C Doctors Dr
Ocean Springs, MS 39564-5721
Phone (228) 244-9910

3704 Bienville Blvd
Suite B
Ocean Springs, MS 39564-5710
Phone (228) 872-4040

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
29161MSMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
McClendon Medical Clinic PLLC CurrentSince Oct 1, 2024 Accepting new patients
Singing River Health System CurrentSince Dec 1, 2021 Accepting new patients
Singing River Gulfport Internal Medicine CurrentSince Dec 1, 2021 Accepting new patients
Singing River Gulfport CurrentSince Dec 1, 2021 Accepting new patients
Memorial Hospital at Gulfport Past Accepting new patients

Locations

2101 Highway 90
Gautier, MS 39553
Phone (228) 497-7576

12121 Highway 49
Gulfport, MS 39503
Phone (228) 831-1572

12330 Ashley Dr
Gulfport, MS 39503
Phone (228) 255-8818

350 Cowan Rd
Gulfport, MS 39507
Phone (228) 206-7054

22C Doctors Dr
Ocean Springs, MS 39564
Phone (228) 244-9910

3099 Bienville Blvd
Ocean Springs, MS 39564
Phone (228) 872-2403

2819 Denny Ave
Pascagoula, MS 39581
Phone (228) 762-3466

Interoperability endpoints

  • Direct secure messaging: matmurray@direct.mysrhs.com

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Enhabit Hospice of the Gulf CoastBiloxi, MS, CCN 251652 Hospice Contracted Managing Employee Jun 24, 2016

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 7

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

Hospital & facility affiliations 66

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 66

NPI Registry JSON

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

{
    "created_epoch": "1401148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642377600000",
    "number": "1104238153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 HIGHWAY 90",
            "city": "GAUTIER",
            "state": "MS",
            "postal_code": "395535340",
            "telephone_number": "228-497-7576",
            "fax_number": "228-497-8869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12330 ASHLEY DR",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395032737",
            "telephone_number": "228-831-1572",
            "fax_number": "228-831-1218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURRAY",
        "first_name": "MATTHEW",
        "middle_name": "JACOB",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-05-27",
        "last_updated": "2022-01-17",
        "certification_date": "2022-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MS",
            "license": "29161",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q028297",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACK",
            "last_name": "MURRAY",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Gulfport, MS

Sources for this page

Verify at the official NPI Registry.