Active NPI
Preventive Caremd, LLC
- Integrative Medicine Physician
- Ocean Springs, MS
National Provider Identifier
1699563858
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Integrative Medicine Physician
- Legal business name
- PREVENTIVE CAREMD, LLC
- Practice address
- 2000 Bienville Blvd
Ocean Springs, MS 39564-3016 - Phone
- (228) 282-8080
- NPI assigned
- Apr 28, 2025
- Last updated
- Apr 28, 2025
- 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
- John Simpson
- Title
- President
- Phone
- (251) 751-7510
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Integrative Medicine Physician | 202D00000X | NU | Primary |
Addresses
Primary practice location
2000 Bienville Blvd
Ocean Springs, MS 39564-3016
Mailing address
2000 Bienville Blvd
Ocean Springs, MS 39564-3016
Phone (228) 282-8080
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
2000 Bienville Blvd
Ocean Springs, MS 39564
Phone (228) 282-8018
Practitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Medicine Physician
- Ocean Springs, MS
- NPI 1184039240
-
- Family Nurse Practitioner
- Ocean Springs, MS
- NPI 1134644685
-
- Physician Assistant
- Gulfport, MS
- NPI 1720749799
-
- Family Nurse Practitioner
- Eagan, MN
- NPI 1720571805
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1745798400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1745798400000",
"number": "1699563858",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2000 BIENVILLE BLVD",
"city": "OCEAN SPRINGS",
"state": "MS",
"postal_code": "395643016",
"telephone_number": "228-282-8080"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 BIENVILLE BLVD",
"city": "OCEAN SPRINGS",
"state": "MS",
"postal_code": "395643016",
"telephone_number": "228-282-8080"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PREVENTIVE CAREMD, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-04-28",
"last_updated": "2025-04-28",
"certification_date": "2025-04-28",
"status": "A",
"authorized_official_last_name": "SIMPSON",
"authorized_official_first_name": "JOHN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "251-751-7510"
},
"taxonomies": [
{
"code": "202D00000X",
"taxonomy_group": "",
"desc": "Integrative Medicine",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ocean Springs, MS
- Daisha Rhea Pratt, RBT
- Precision Wellness and Rehab Center, LLC
- Premier Dermatology and Skin Cancer Center, PLLC
- Cecelia Claire Prentiss, OT
- Angela Belinda Pressley-Wallace, M.D.
- Primary Health Solutions, LLC
- Prince Primary Care, LLC
- Benjamin Robert Prince, DO
- Prism Mental Health, LLC
- Proheal Wound Solutions LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.