Active NPI
Safia Mohiuddin, MD
- Public Health & General Preventive Medicine Physician
- Gulfport, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health & General Preventive Medicine Physician
- License
- 31764
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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, Inc
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
| License | State | Type | Specialty |
|---|---|---|---|
| 31764 | MS | MD | Public Health & General Preventive Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coastal Family Health Center, Inc | Current | Accepting new patients | |
| Coastal Family Health Center, Inc | Current | Accepting new patients | |
| BHG Lxii LLC | Current | Accepting new patients | |
| BHG Lxii LLC | Current | Accepting new patients | |
| Aria Podiatry Care PLLC | Current | Accepting new patients | |
| BHG Lxii LLC | Current | Accepting new patients | |
| Coastal Family Health Center, Inc | Current | 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
- 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.
-
- Federally Qualified Health Center (FQHC)
- Biloxi, MS
- NPI 1629066782
-
- Substance Use Disorder Rehabilitation Clinic/Center
- New Orleans, LA
- NPI 1750090478
-
- Federally Qualified Health Center (FQHC)
- Biloxi, MS
- NPI 1104010834
-
- Federally Qualified Health Center (FQHC)
- Lucedale, MS
- NPI 1427842913
-
- Multi-Specialty Clinic/Center
- Lake Charles, LA
- NPI 1396454013
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Houma, LA
- NPI 1487397030
-
- Dentist
- Overland Park, KS
- NPI 1942977632
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2024; 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.
- 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.