North Bay Family Medical Clinic, PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

NORTH BAY FAMILY MEDICAL CLINIC, PA

Practice address

15012 Lemoyne Blvd
Biloxi, MS 39532-5205

Phone

(228) 392-5050

Fax

(228) 392-9168

NPI assigned

Apr 20, 2006

Organization subpart

No

Name

Richard H Smith, M.D.NPI 1760422885

Title

President

Phone

(228) 392-5050

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

• Richard H Smith, M.D.

  • Family Medicine Physician
  • Biloxi, MS
  • NPI 1760422885

  Family Medicine, MS

  Medicare reassignment Care Compare group NPD Authorized official
• Seren Emerson Ainsworth II, FNP-C

  • Family Medicine Physician
  • Biloxi, MS
  • NPI 1356900534

  Family Medicine, MS

  Medicare reassignment Care Compare group NPD
• Sarah Hill, NP

  • Family Nurse Practitioner
  • Biloxi, MS
  • NPI 1891157467

  MS

  Medicare reassignment Care Compare group NPD
• Ursula Knight, FNP

  • Primary Care Nurse Practitioner
  • Moss Point, MS
  • NPI 1124576707

  MS

  Medicare reassignment Care Compare group NPD
• Rachel Claire Harper Moore, M.D.

  • Family Medicine Physician
  • Biloxi, MS
  • NPI 1548792732

  Family Medicine, MS

  Medicare reassignment Care Compare group NPD
• Paul M Pavlov, M.D.

  • Family Medicine Physician
  • Biloxi, MS
  • NPI 1093755795

  Family Medicine, MS

  Medicare reassignment Care Compare group NPD
• Christopher L Shelby, M.D.

  • Family Medicine Physician
  • Biloxi, MS
  • NPI 1851333009

  Family Medicine, MS

  Medicare reassignment Care Compare group NPD
• Alan Dale Gatlin, M.D.

  • Family Medicine Physician
  • Biloxi, MS
  • NPI 1407938368

  Family Medicine, MS

  Medicare reassignment NPD
• Eliza Macrery Knudsen, NP-C

  • Family Nurse Practitioner
  • Biloxi, MS
  • NPI 1538737762

  MS

  Medicare reassignment NPD
• Tu-Huong T Tran, CFNP

  • Nurse Practitioner
  • Biloxi, MS
  • NPI 1285967646

  MS

  Medicare reassignment NPD
• Chelsey E Windham, NP-C

  • Family Nurse Practitioner
  • Diberville, MS
  • NPI 1477824902

  MS

  Medicare reassignment NPD

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 6, 2008.

{
    "created_epoch": "1145491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225929600000",
    "number": "1417912486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15012 LEMOYNE BLVD",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "395325205",
            "telephone_number": "228-392-5050",
            "fax_number": "228-392-9168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15012 LEMOYNE BLVD",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "395325205",
            "telephone_number": "228-392-5050",
            "fax_number": "228-392-9168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH BAY FAMILY MEDICAL CLINIC, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-20",
        "last_updated": "2008-11-06",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "228-392-5050",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009015002",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brooke Nitz, PA-C
• Jeffrey Dean Noblin, M.D.
• Wanda Noblitt, RD
• Ronald James Norra
• Geri Norskov, NURSE PRACTITIONER
• North Bay Therapy LLC
• North Biloxi Chiropractic Clinic PA
• Anna Clyde Northcutt, LMSW
• NPS With Ivs Hydration and Wellness LLC
• Nucare Medical and Weight Loss Center

• All providers in Biloxi, MS
• Family Medicine Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.