Individual provider Active NPI

Angela Belinda Pressley-Wallace, M.D.

  • Pediatric Gastroenterology Physician
  • Ocean Springs, MS
National Provider Identifier
1609132232
Registry record updated Jun 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Gastroenterology PhysicianTaxonomy code 2080P0206X
License
26164 Issued in MS
Practice address
3890 Bienville Blvd
Ocean Springs, MS 39564-5803
Phone
(228) 872-6291
Fax
(228) 875-3385
NPI assigned
Apr 9, 2012
Last updated
Jun 7, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Pediatrics Physician 208000000X 55220 CT
Pediatric Gastroenterology Physician 2080P0206X 26164 MS Primary

Addresses

Primary practice location

3890 Bienville Blvd
Ocean Springs, MS 39564-5803

Mailing address

3890 Bienville Blvd
Ocean Springs, MS 39564-5803
Phone (228) 872-6291

Other practice location 1

282 Washington St
Connecticut Childrens Medical Center
Hartford, CT 06106-3322
Phone (860) 837-6590

Other practice location 2

401 Cowan Rd Ste B
Gulfport, MS 39507-2022
Phone (228) 222-4072

Other practice location 3

90 Industrial Park Cir Ste A
Ocean Springs, MS 39564-5800
Phone (228) 872-6291

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181119000090 MS Practitioner - GastroenterologyPractitioner - Pediatric Medicine 8224382817 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
55220CTMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gastrointestinal Associates, P.a. Pediatric Gastroenterology Current Accepting new patients
Memorial Hospital at Gulfport CurrentSince Jul 19, 2021 Accepting new patients
Gastrointestinal Associates, P.a. Pediatric Gastroenterology CurrentSince Jun 19, 2023 Accepting new patients
Memorial Hospital at Gulfport Current Accepting new patients
Gastrointestinal Associates, PA CurrentSince Jun 19, 2023 Accepting new patients
Memorial Hospital at Gulfport CurrentSince Jul 19, 2021 Accepting new patients
Memorial Hospital at Gulfport Past Accepting new patients
Singing River Health System PastSince Sep 24, 2018 Accepting new patients

Locations

147 Reynoir St
Ste 204
Biloxi, MS 39530
Phone (228) 374-6296

1720A Medical Park Dr
Ste 300
Biloxi, MS 39532
Phone (228) 702-1500

1340 Broad Ave
Ste 440
Gulfport, MS 39501
Phone (228) 867-4856

3890 Bienville Blvd
Ocean Springs, MS 39564
Phone (228) 872-6291

90 Industrial Park Cir
Ocean Springs, MS 39564
Phone (228) 327-5225

90 Industrial Park Cir
#A
Ocean Springs, MS 39564
Phone (228) 872-6291

90 Industrial Park Cir
Ste A
Ocean Springs, MS 39564
Phone (228) 872-6291

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1333929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623024000000",
    "number": "1609132232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3890 BIENVILLE BLVD",
            "city": "OCEAN SPRINGS",
            "state": "MS",
            "postal_code": "395645803",
            "telephone_number": "228-872-6291",
            "fax_number": "228-875-3385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3890 BIENVILLE BLVD",
            "city": "OCEAN SPRINGS",
            "state": "MS",
            "postal_code": "395645803",
            "telephone_number": "228-872-6291",
            "fax_number": "228-875-3385"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "282 Washington St",
            "address_2": "Connecticut Childrens Medical Center",
            "address_purpose": "LOCATION",
            "city": "Hartford",
            "state": "CT",
            "postal_code": "061063322",
            "country_code": "US",
            "telephone_number": "860-837-6590",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "401 Cowan Rd Ste B",
            "address_purpose": "LOCATION",
            "city": "Gulfport",
            "state": "MS",
            "postal_code": "395072022",
            "country_code": "US",
            "telephone_number": "228-222-4072",
            "fax_number": "228-215-1205",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "90 Industrial Park Cir Ste A",
            "address_purpose": "LOCATION",
            "city": "Ocean Springs",
            "state": "MS",
            "postal_code": "395645800",
            "country_code": "US",
            "telephone_number": "228-872-6291",
            "fax_number": "228-875-3385",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRESSLEY-WALLACE",
        "first_name": "ANGELA",
        "middle_name": "BELINDA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-09",
        "last_updated": "2021-06-07",
        "certification_date": "2021-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CT",
            "license": "55220",
            "primary": false
        },
        {
            "code": "2080P0206X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Gastroenterology",
            "state": "MS",
            "license": "26164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocean Springs, MS

Sources for this page

Verify at the official NPI Registry.