NPIMap

Organization Active NPI

Pascagoula Urgent Care

  • Urgent Care Clinic/Center
  • Pascagoula, MS
National Provider Identifier
1235442872
Registry record updated Oct 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
PASCAGOULA URGENT CARE
Practice address
2210 Denny Ave
Pascagoula, MS 39567-3416
Phone
(228) 372-6040
Fax
(228) 372-6043
NPI assigned
Jul 25, 2010
Last updated
Oct 2, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2025

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

Authorized official

Name
Brianne Nichole Whitney
Title
Coo/President
Phone
(707) 319-5068

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X NU Primary

Addresses

Primary practice location

2210 Denny Ave
Pascagoula, MS 39567-3416

Mailing address

PO Box 1248
Ocean Springs, MS 39566-1248
Phone (228) 372-6040

Other identifiers 1

IdentifierTypeStateIssuer
04209759MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110318000278 MS Part B Supplier - Clinic/Group Practice 8527241207 Receives reassigned benefits from 62 practitioners
Practice locations: Pascagoula, MS

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
25D2010654Pascagoula Urgent Care LLC2210 Denny Avenue, Pascagoula, MS 39567Certificate of waiverMar 1, 2028

National Provider Directory

National Provider Directory

Locations

2210 Denny Ave
Pascagoula, MS 39567
Phone (228) 372-6040

Practitioners & affiliated clinicians

Practitioners 64

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.

View all 64

NPI Registry JSON

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

{
    "created_epoch": "1280016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759363200000",
    "number": "1235442872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1248",
            "city": "OCEAN SPRINGS",
            "state": "MS",
            "postal_code": "395661248",
            "telephone_number": "228-372-6040",
            "fax_number": "228-372-6043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2210 DENNY AVE",
            "city": "PASCAGOULA",
            "state": "MS",
            "postal_code": "395673416",
            "telephone_number": "228-372-6040",
            "fax_number": "228-372-6043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PASCAGOULA URGENT CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-25",
        "last_updated": "2025-10-02",
        "certification_date": "2025-10-02",
        "status": "A",
        "authorized_official_last_name": "WHITNEY",
        "authorized_official_first_name": "BRIANNE",
        "authorized_official_middle_name": "NICHOLE",
        "authorized_official_title_or_position": "COO/PRESIDENT",
        "authorized_official_telephone_number": "707-319-5068"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04209759",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pascagoula, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2025; 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.