Organization Active NPI

Fortress Clinical Research Inc

  • General Practice Physician
  • Biloxi, MS
National Provider Identifier
1376419879
Registry record updated Jul 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
FORTRESS CLINICAL RESEARCH INC
Practice address
14501 Lemoyne Blvd
Biloxi, MS 39532-9326
Phone
(601) 316-5538
NPI assigned
Oct 13, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2026

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

Authorized official

Name
Mr. Demario Wilson
Title
Ceo/ Medical Director
Phone
(601) 316-4613

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X

Addresses

Primary practice location

14501 Lemoyne Blvd
Biloxi, MS 39532-9326

Mailing address

14501 Lemoyne Blvd
Biloxi, MS 39532-9326
Phone (601) 316-5538

National Provider Directory

National Provider Directory

Locations

14501 Lemoyne Blvd
Biloxi, MS 39532
Phone (228) 392-5559

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1760313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784246400000",
    "number": "1376419879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14501 LEMOYNE BLVD",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "395329326",
            "telephone_number": "601-316-5538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14501 LEMOYNE BLVD",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "395329326",
            "telephone_number": "601-316-5538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORTRESS CLINICAL RESEARCH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-13",
        "last_updated": "2026-07-17",
        "certification_date": "2026-07-17",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "DEMARIO",
        "authorized_official_title_or_position": "CEO/ MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "601-316-4613",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Biloxi, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.