Active NPI
Medical Foundation of South Ms
- Internal Medicine Physician
- Biloxi, MS
National Provider Identifier
1720014202
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- MEDICAL FOUNDATION OF SOUTH MS
- Practice address
- 2771 Pass Rd
Biloxi, MS 39531-2600 - Phone
- (228) 385-4645
- Fax
- (228) 385-4695
- NPI assigned
- Jun 25, 2006
- 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
- Mr. Randy Robinson
- Title
- Administrator
- Phone
- (228) 865-1453
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
2771 Pass Rd
Biloxi, MS 39531-2600
Mailing address
1612 31St Ave
Gulfport, MS 39501-2750
Phone (228) 865-1453
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 09014945 | Medicaid | MS |
National Provider Directory
National Provider DirectoryLocations
2771 Pass Rd
Biloxi, MS 39531
Phone (228) 385-4645
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151193600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1720014202",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1612 31ST AVE",
"city": "GULFPORT",
"state": "MS",
"postal_code": "395012750",
"telephone_number": "228-865-1453",
"fax_number": "228-865-1451"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2771 PASS RD",
"city": "BILOXI",
"state": "MS",
"postal_code": "395312600",
"telephone_number": "228-385-4645",
"fax_number": "228-385-4695"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEDICAL FOUNDATION OF SOUTH MS",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-25",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "ROBINSON",
"authorized_official_first_name": "RANDY",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "228-865-1453",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "09014945",
"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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.