Individual provider Active NPI

Safia Mohiuddin, MD

  • Public Health & General Preventive Medicine Physician
  • Gulfport, MS
National Provider Identifier
1194352377
Registry record updated Jul 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health & General Preventive Medicine PhysicianTaxonomy code 2083P0901X
License
31764 Issued in MS
Practice address
15024 Martin Luther King Jr Blvd
Gulfport, MS 39501-8306
Phone
(228) 374-2494
NPI assigned
Mar 26, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health & General Preventive Medicine Physician 2083P0901X 31764 MS Primary

Addresses

Primary practice location

15024 Martin Luther King Jr Blvd
Gulfport, MS 39501-8306

Mailing address

10467 Corporate Dr
Gulfport, MS 39503-4634
Phone (228) 374-2494

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, LA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240501004166 MS Practitioner - Internal Medicine 3678996329 Reassigns benefits to 2 organizations
I20250122000021 LA Practitioner - Preventive Medicine 3678996329 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Preventive Medicine
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Coastal Family Health Center, IncGroup PAC ID 8628989654, shared by 46 NPIs, 48 clinicians

Practice addresses (Care Compare)

1046 Division St
Biloxi, MS 39530-2935
Phone (228) 374-2494

15024 Martin Luther King Jr Blvd
Gulfport, MS 39501-8306
Phone (228) 864-0003

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
31764MSMDPublic Health & General Preventive Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Family Health Center, Inc Current Accepting new patients
Coastal Family Health Center, Inc CurrentSince Apr 16, 2024 Accepting new patients
BHG Lxii LLC CurrentSince Dec 1, 2024 Accepting new patients
BHG Lxii LLC Current Accepting new patients
Aria Podiatry Care PLLC CurrentSince Mar 10, 2025 Accepting new patients
BHG Lxii LLC CurrentSince Dec 1, 2024 Accepting new patients
Coastal Family Health Center, Inc CurrentSince Apr 16, 2024 Accepting new patients
Aria Dental Care PC Past Accepting new patients

Locations

830 S Broadway St
Church Point, LA 70525
Phone (337) 684-6313

2235 Poydras St
Unit B
New Orleans, LA 70119
Phone (504) 524-7205

1303 Line Ave
Ste 600
Shreveport, LA 71101
Phone (318) 425-3400

725 Dunbar Ave
Bay St Louis, MS 39520
Phone (228) 446-3099

715A Division St
Biloxi, MS 39530
Phone (228) 374-4991

1046 Division St
Biloxi, MS 39530
Phone (225) 374-2494

15024 Mlk
Gulfport, MS 39501
Phone (228) 846-0003

10467 Corporate Dr
Gulfport, MS 39503
Phone (228) 375-2494

5001 Spring Vly
Ste 600E
Dallas, TX 75244

Interoperability endpoints

  • Direct secure messaging: safia.mohiuddin.p1@direct.cfhc.nextgenshare.com

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1585180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721088000000",
    "number": "1194352377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10467 CORPORATE DR",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395034634",
            "telephone_number": "228-374-2494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15024 MARTIN LUTHER KING JR BLVD",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395018306",
            "telephone_number": "228-374-2494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOHIUDDIN",
        "first_name": "SAFIA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-26",
        "last_updated": "2024-07-16",
        "certification_date": "2024-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "MS",
            "license": "31764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gulfport, MS

Sources for this page

Verify at the official NPI Registry.