Active NPI
NP on Call
Doing business as NP Family Medical Clinic
- Family Medicine Physician
- Gulfport, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- NP ON CALL
- Doing business as
- NP Family Medical Clinic
- Practice address
- 2300 24TH Ave
Gulfport, MS 39501 - Phone
- (228) 206-6500
- Fax
- (866) 659-9359
- NPI assigned
- Jun 19, 2015
- Organization subpart
- Yes
- Parent organization
- NP ON CALL
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Carricka Thomas, FNP-BC
- Title
- Nurse Practitioner
- Phone
- (228) 326-9951
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
2300 24TH Ave
Gulfport, MS 39501
Mailing address
2300 24TH Ave
Gulfport, MS 39501-4605
Phone (228) 206-6500
Other names 1
- NP Family Medical Clinic
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 25D2100623 | MRH Medical Group, NP Family Medical Clinic | Certificate of waiver | Aug 17, 2027 |
National Provider Directory
National Provider Directory- Part of
- NP on Call
Locations
12451 Dedeaux Rd
Gulfport, MS 39503
2300 24th Ave
Gulfport, MS 39501
Phone (228) 206-6500
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Gulfport, MS
- NPI 1538469689
-
- Nurse Practitioner
- Gulfport, MS
- NPI 1225685381
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1434672000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1733184000000",
"number": "1255713889",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2300 24TH AVE",
"city": "GULFPORT",
"state": "MS",
"postal_code": "395014605",
"telephone_number": "228-206-6500",
"fax_number": "866-659-9359"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2300 24TH AVE",
"city": "GULFPORT",
"state": "MS",
"postal_code": "39501",
"telephone_number": "228-206-6500",
"fax_number": "866-659-9359"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NP ON CALL",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "NP ON CALL",
"enumeration_date": "2015-06-19",
"last_updated": "2024-12-03",
"certification_date": "2024-12-03",
"status": "A",
"authorized_official_last_name": "THOMAS",
"authorized_official_first_name": "CARRICKA",
"authorized_official_title_or_position": "NURSE PRACTITIONER",
"authorized_official_telephone_number": "228-326-9951",
"authorized_official_credential": "FNP-BC"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "NP Family Medical Clinic",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "NP Family Medical Clinic",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Gulfport, MS
- David Allen Northington, D.O.
- Northland Hearing Centers, Inc. (Ascent Audiology & Hearing Center)
- Cory Wade Norton, PHARMD
- Ally Novel, PHARMD, MHSA, RPH
- Katherine Nowell, D.P.T.
- Jillian Nunez
- Kapria Nunnally, CPSS
- Alicia Nye, RDH
- Joseph D O'Gorman, D.O.
- O'Keefe Educational Media (Disability Connection)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2024; 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.