Individual provider Active NPI

Tracy Smith Sanford, D.O.

  • Family Medicine Physician
  • Biloxi, MS
National Provider Identifier
1346356862
Registry record updated Mar 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
29341 Issued in MS
Practice address
2650 Beach Blvd Ste 40
Biloxi, MS 39531-4517
Phone
(228) 273-4611
Fax
(888) 464-0522
NPI assigned
Aug 21, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 26, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 29341 MS Primary

Addresses

Primary practice location

2650 Beach Blvd Ste 40
Biloxi, MS 39531-4517

Mailing address

6101 Blue Lagoon Dr Ste 200
Miami, FL 33126-3168
Phone (305) 500-2000

Other identifiers 2

IdentifierTypeStateIssuer
080194475OtherOKRAILROAD MEDICARE
100223390BMedicaidOK

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tracy.sanford.1@29601.direct.athenahealth.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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 1

Enrollment IDStateProvider typePAC IDDetails
I20211210002412 MS Practitioner - Family Practice 3678653508 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Oklahoma State University College of Osteopathic Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Centerwell Senior Primary Care Ms PCGroup PAC ID 0143694190, 14 clinicians

Practice addresses (Care Compare)

2650 Beach Blvd
Suite 40
Biloxi, MS 39531-4517
Phone (228) 273-4611

Hospital & facility affiliations

  • Mississippi Homecare of Picayune Home health agency, Picayune, MS, CCN 257141
  • Memorial Hospital at Gulfport Hospital, Gulfport, MS, CCN 250019
  • Memorial Hospital Biloxi Hospital, Biloxi, MS, CCN 250007
  • Singing River Gulfport Hospital, Gulfport, MS, CCN 250123

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3598OKMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Centerwell Senior Primary Care Ms PC Family Medicine CurrentSince Jan 7, 2025 Accepting new patients
Centerwell Senior Primary Care Ms PC Family Medicine CurrentSince Jan 7, 2025 Accepting new patients
Centerwell Senior Primary Care Ms PC Family Medicine Current Accepting new patients

Locations

6101 Waterford District Dr
Ste 200
Miami, FL 33126
Phone (407) 533-6836

2650 Beach Blvd
Ste 40
Biloxi, MS 39531
Phone (228) 273-4611

12057 Highway 49
Ste C
Gulfport, MS 39503
Phone (228) 831-1140

Interoperability endpoints

  • Direct secure messaging: tracy.sanford.1@29601.direct.athenahealth.com
  • Direct secure messaging: tracy.sanford@centerwell.eclinicaldirectplus.com

Organizations & group practices 3

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.

Hospital & facility affiliations 62

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 62

NPI Registry JSON

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774483200000",
    "number": "1346356862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6101 BLUE LAGOON DR STE 200",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331263168",
            "telephone_number": "305-500-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2650 BEACH BLVD STE 40",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "395314517",
            "telephone_number": "228-273-4611",
            "fax_number": "888-464-0522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANFORD",
        "first_name": "TRACY",
        "middle_name": "SMITH",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-21",
        "last_updated": "2026-03-26",
        "certification_date": "2026-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MS",
            "license": "29341",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "080194475",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100223390B",
            "state": "OK"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tracy.sanford.1@29601.direct.athenahealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2650 Beach Blvd Ste 40",
            "city": "Biloxi",
            "state": "MS",
            "country_code": "US",
            "postal_code": "395314517",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Biloxi, MS

Sources for this page

Verify at the official NPI Registry.