Individual provider Active NPI

Daniel Robert Lawrence, DO

  • Pediatrics Physician
  • Gulfport, MS
National Provider Identifier
1346990827
Registry record updated Jun 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
35088 Issued in MS
Practice address
8950 Lorraine Rd
Gulfport, MS 39503-4177
Phone
(228) 396-3238
NPI assigned
Mar 27, 2022
Last updated
Jun 10, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 35088 MS Primary

Addresses

Primary practice location

8950 Lorraine Rd
Gulfport, MS 39503-4177

Mailing address

831 Cedar Lake Rd Apt 1623
Biloxi, MS 39532-4668
Phone (228) 327-5418

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
I20250710003112 MS Practitioner - Pediatric Medicine 3072036714 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35088MSMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
State of Mississippi - University of Mississippi Medical Center Current Accepting new patients
State of Mississippi - University of Mississippi Medical Center CurrentSince Jun 1, 2025 Accepting new patients
State of Mississippi-University of Mississippi Medical Center CurrentSince Jun 1, 2025 Accepting new patients

Locations

12259 Highway 49
Gulfport, MS 39503
Phone (228) 396-3179

2500 N State St
Jackson, MS 39216
Phone (601) 815-4775

2500 N State St
#S13901
Jackson, MS 39216
Phone (601) 815-8489

Interoperability endpoints

  • Direct secure messaging: dlawrence177712@ummc.direct-ci.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1648339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749513600000",
    "number": "1346990827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "831 CEDAR LAKE RD APT 1623",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "395324668",
            "telephone_number": "228-327-5418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8950 LORRAINE RD",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395034177",
            "telephone_number": "228-396-3238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAWRENCE",
        "first_name": "DANIEL",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-03-27",
        "last_updated": "2025-06-10",
        "certification_date": "2025-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MS",
            "license": "35088",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gulfport, MS

Sources for this page

Verify at the official NPI Registry.