Active NPI
Ucfa Physicians Network Group of Mississippi
- Family Medicine Physician
- Biloxi, MS
National Provider Identifier
1619645520
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- UCFA PHYSICIANS NETWORK GROUP OF MISSISSIPPI
- Practice address
- 296 Beauvoir Rd
Biloxi, MS 39531-4051 - Phone
- (423) 271-9911
- NPI assigned
- Sep 3, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Theo Stephens
- Title
- Acting Chief of PNG
- Phone
- (423) 271-9911
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
296 Beauvoir Rd
Biloxi, MS 39531-4051
Mailing address
8930 Cross Park Dr Ste 3
Knoxville, TN 37923-4713
Phone (423) 712-9911
National Provider Directory
National Provider DirectoryLocations
296 Beauvoir Rd
Biloxi, MS 39531
Phone (877) 899-7560
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1630627200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1630627200000",
"number": "1619645520",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8930 CROSS PARK DR STE 3",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379234713",
"telephone_number": "423-712-9911"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "296 BEAUVOIR RD",
"city": "BILOXI",
"state": "MS",
"postal_code": "395314051",
"telephone_number": "423-271-9911"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UCFA PHYSICIANS NETWORK GROUP OF MISSISSIPPI",
"organizational_subpart": "NO",
"enumeration_date": "2021-09-03",
"last_updated": "2021-09-03",
"certification_date": "2021-09-03",
"status": "A",
"authorized_official_last_name": "STEPHENS",
"authorized_official_first_name": "THEO",
"authorized_official_title_or_position": "ACTING CHIEF OF PNG",
"authorized_official_telephone_number": "423-271-9911"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Biloxi, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.