Mollie Kristine Winter, M.D.
Individual provider Active NPI Pediatrics Physician · Saucier, MS
NPI 1568662443 · NPPES record last updated Apr 4, 2025
Key facts
- NPI
- 1568662443
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- ME113609 (FL)
- Practice address
- 23453 Central Dr
Saucier, MS 39574-7521 - Phone
- (228) 392-4153
- Fax
- (228) 832-0657
- NPI assigned
- Jul 19, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MS, FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100803000682 | MS | Practitioner - Pediatric Medicine | 4981737566 | Practice locations: Saucier, MS |
| I20120917000107 | FL | Practitioner - Pediatric Medicine | 4981737566 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME113609 | FL | MD | Pediatrics Physician |
| 21170 | MS | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sacred Heart Health System, Inc. | Current | Accepting new patients | |
| Pancare of Florida, Inc | Current |
Accepting new patients | |
| Coastal Family Health Center, Inc | Past |
Accepting new patients | |
| Pancare of Florida, Inc | Past |
Accepting new patients | |
| Coastal Family Health Center Inc | Past |
Accepting new patients |
Locations
11033 NW State Road 20
Bristol, FL 32321
Phone (850) 643-1155
479 State Highway 20 E
Freeport, FL 32439
Phone (850) 835-4121
403 E 11th St
Panama City Beach, FL 32401
Phone (850) 747-5599
Interoperability endpoints
- mollie.winter.p1@direct.cfhc.nextgenshare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 21170 | MS | |
| Pediatrics Physician | 208000000X | ME113609 | FL | Yes |
Addresses
Primary practice location
23453 Central Dr
Saucier, MS 39574-7521
Mailing address
10467 Corporate Dr
Gulfport, MS 39503-4634
Phone (228) 374-2494
Other names
- Dr. Mollie Kristine Smith-Sowell
Other providers in Saucier, MS
All providers in Saucier, MS · Pediatrics Physician 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 4, 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).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.