A R Mizell LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

A R MIZELL LLC

Doing business as

Southern Family Urgent Care

Practice address

1212 E Pass Rd
Gulfport, MS 39507-3403

Phone

(228) 896-7108

Fax

(228) 896-7174

NPI assigned

Jun 15, 2012

Last updated

Feb 14, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Amanda R Mizell, FNP-BCNPI 1679896575

Title

Owner

Phone

(251) 510-8175

Specialties & licenses 1

Addresses

Other names 1

• Southern Family Urgent Care Doing business as

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Amanda Renia Mizell, CRNP

  • Family Nurse Practitioner
  • Gulfport, MS
  • NPI 1679896575
  Medicare reassignment Care Compare group NPD Authorized official
• Sara Lynn Baylor, APRN, FNP-BC

  • Family Nurse Practitioner
  • Gulfport, MS
  • NPI 1184122020
  Medicare reassignment Care Compare group NPD
• Grace Pearson, FNP-C

  • Nurse Practitioner
  • Gulfport, MS
  • NPI 1538825252
  Medicare reassignment Care Compare group NPD
• Jessica Irene Murphy, FNP-C

  • Family Nurse Practitioner
  • Gulfport, MS
  • NPI 1972071611
  Medicare reassignment NPD
• Alisa M Stephens, NP-C

  • Family Nurse Practitioner
  • Bay Saint Louis, MS
  • NPI 1457986564
  Medicare reassignment NPD
• Stephanie Lauren Wilson, FNP

  • Family Nurse Practitioner
  • Biloxi, MS
  • NPI 1437579091

  Multi-Specialty

  Medicare reassignment NPD
• Tabitha Long, FNP-C

  • Family Nurse Practitioner
  • Jbsa Lackland, TX
  • NPI 1972193746

  MS

  Medicare reassignment NPD
• Kelly Majors

  • Family Nurse Practitioner
  • Tucson, AZ
  • NPI 1790233013

  MS

  Medicare reassignment NPD

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

{
    "created_epoch": "1339718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676332800000",
    "number": "1144582040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 787",
            "city": "GRAND BAY",
            "state": "AL",
            "postal_code": "365410787",
            "telephone_number": "228-896-7108",
            "fax_number": "228-896-7174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1212 E PASS RD",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395073403",
            "telephone_number": "228-896-7108",
            "fax_number": "228-896-7174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A R MIZELL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-15",
        "last_updated": "2023-02-14",
        "certification_date": "2023-02-14",
        "status": "A",
        "authorized_official_last_name": "MIZELL",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "251-510-8175",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "FNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southern Family Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Southern Family Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Family Nurse Practitioner in Gulfport, MS
• Providers in Gulfport, MS by specialty
• Family Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.