Island Primary Care LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

ISLAND PRIMARY CARE LLC

Practice address

5831 Sylvester St
Ocean Springs, MS 39564-4073

Phone

(228) 218-3716

NPI assigned

Nov 21, 2023

Organization subpart

No

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

Authorized official

Name

Erin Canady Beech, PA-C

Title

Physician Assistant

Phone

(228) 218-3716

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1700524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700524800000",
    "number": "1386419141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5831 SYLVESTER ST",
            "city": "OCEAN SPRINGS",
            "state": "MS",
            "postal_code": "395644073",
            "telephone_number": "228-218-3716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5831 SYLVESTER ST",
            "city": "OCEAN SPRINGS",
            "state": "MS",
            "postal_code": "395644073",
            "telephone_number": "228-218-3716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISLAND PRIMARY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-21",
        "last_updated": "2023-11-21",
        "certification_date": "2023-11-21",
        "status": "A",
        "authorized_official_last_name": "BEECH",
        "authorized_official_first_name": "ERIN",
        "authorized_official_middle_name": "CANADY",
        "authorized_official_title_or_position": "PHYSICIAN ASSISTANT",
        "authorized_official_telephone_number": "228-218-3716",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinic/Center in Ocean Springs, MS
• Providers in Ocean Springs, MS by specialty
• Clinic/Center in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2023; 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.