Individual provider Active NPI

Joanna Dupont, MD

  • Pediatrics Physician
  • Biloxi, MS
National Provider Identifier
1639212442
Registry record updated Jun 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
17252 Issued in MS
Practice address
2561 Pass Rd
Biloxi, MS 39531
Phone
(228) 400-0098
Fax
(833) 915-0148
NPI assigned
Feb 14, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 17252 MS Primary

Addresses

Primary practice location

2561 Pass Rd
Biloxi, MS 39531

Mailing address

59101 Amber St
Slidell, LA 70461-3708
Phone (985) 646-1580

Other practice location 1

3650 Groveland Rd
Ocean Springs, MS 39564-5753
Phone (228) 875-0780

Other practice location 2

3650 Groveland Rd
Ocean Springs, MS 39564-5753
Phone (228) 875-0780

Other identifiers 1

IdentifierTypeStateIssuer
09014343MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
17252MSMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Children'S International L.L.C. Pediatrics Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781481600000",
    "number": "1639212442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59101 AMBER ST",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704613708",
            "telephone_number": "985-646-1580",
            "fax_number": "888-863-4274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2561 PASS RD",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "39531",
            "telephone_number": "228-400-0098",
            "fax_number": "833-915-0148"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3650 Groveland Rd",
            "address_purpose": "LOCATION",
            "city": "Ocean Springs",
            "state": "MS",
            "postal_code": "395645753",
            "country_code": "US",
            "telephone_number": "228-875-0780",
            "fax_number": "228-875-1009",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3650 Groveland Rd",
            "address_purpose": "LOCATION",
            "city": "Ocean Springs",
            "state": "MS",
            "postal_code": "395645753",
            "country_code": "US",
            "telephone_number": "228-875-0780",
            "fax_number": "228-875-1009",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUPONT",
        "first_name": "JOANNA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-14",
        "last_updated": "2026-06-15",
        "certification_date": "2026-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MS",
            "license": "17252",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09014343",
            "state": "MS"
        }
    ],
    "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 Jun 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.