Julia Bishop
Individual provider Active NPI Physician Assistant · Gulfport, MS
NPI 1386474401 · NPPES record last updated Apr 29, 2025
Key facts
- NPI
- 1386474401
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 00877 (MS)
- Practice address
- 4533 13TH St
Gulfport, MS 39501-2516 - Phone
- (228) 214-9640
- NPI assigned
- Aug 5, 2024
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 60
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Memorial Hospital at Gulfport
Practice addresses (Care Compare)
1340 Broad Ave
Gulfport, MS 39501-2460
1340 Broad Ave
Gulfport, MS 39501-2465
394 Courthouse Rd
Suite a
Gulfport, MS 39507-1866
Phone (228) 896-4417
4533 13TH St
Gulfport, MS 39501-2516
Phone (228) 214-9640
4577 13TH St
Gulfport, MS 39501-2516
Phone (228) 864-2752
Hospital & facility affiliations
- Memorial Hospital at Gulfport
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250521000417 | MS | Practitioner - Physician Assistant | 6406374693 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00877 | MS | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Memorial Hospital at Gulfport | Current |
Accepting new patients | |
| Memorial Hospital at Gulfport | Current |
Accepting new patients |
Locations
4300B W Railroad St
Gulfport, MS 39501
Phone (228) 863-5705
1340 Broad Ave
Ste 440
Gulfport, MS 39501
Phone (228) 867-4856
4533 13th St
Gulfport, MS 39501
Phone (228) 214-9639
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 00877 | MS | Yes |
Addresses
Primary practice location
4533 13TH St
Gulfport, MS 39501-2516
Mailing address
4533 13TH St
Gulfport, MS 39501-2516
Phone (228) 214-9640
Other providers in Gulfport, MS
- Bio-Medical Applications of Mississippi, Inc.
- Bio-Medical Applications of Mississippi, Inc.
- Bio-Medical Applications of Mississippi, Inc.
- Barbara Morgan Bishop
- Betty Gail Bishop
- Julie Bishop
- Ruth Lloyd Bishop
- William Bishop
- BJ'S Helping Hand LLC
- BJS Helping Hands LLC
All providers in Gulfport, MS · Physician Assistant in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 29, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.