NPIMap

Individual provider Active NPI

Matthew Emerick, M.D.

  • Emergency Medicine Physician
  • Pascagoula, MS
National Provider Identifier
1861542482
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
MS16825 Issued in MS
Practice address
2809 Denny Ave
Pascagoula, MS 39581-5301
Phone
(228) 809-5000
NPI assigned
Jan 12, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X MS16825 MS Primary

Addresses

Primary practice location

2809 Denny Ave
Pascagoula, MS 39581-5301

Mailing address

2101 Highway 90
Gautier, MS 39553-5340

Other identifiers 1

IdentifierTypeStateIssuer
00122796MedicaidMS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100721000143 MS Practitioner - Emergency Medicine 7719019108 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Leake Emergency Group, LLCGroup PAC ID 4486985256, 15 clinicians
Memorial Hospital at GulfportGroup PAC ID 2466524012, 473 clinicians

Practice addresses (Care Compare)

1100 Hwy 16 E
Carthage, MS 39051-4222
Phone (601) 267-1100

1104 Broad Ave
Gulfport, MS 39501-2414
Phone (228) 822-6811

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MS16825MSMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
South Central Regional Medical Center CurrentSince Jul 1, 2025 Accepting new patients
Memorial Hospital at Gulfport Current Accepting new patients
Memorial Hospital at Gulfport Emergency Medicine CurrentSince Jan 4, 2025 Accepting new patients
Singing River Health System CurrentSince Oct 18, 2014 Accepting new patients
Emergency Room Group LTD Emergency Medicine CurrentSince Feb 15, 2015 Accepting new patients
South Central Regional Medical Center CurrentSince Jul 1, 2025 Accepting new patients
Leake Emergency Group, LLC Emergency Medicine CurrentSince Jun 19, 2022 Accepting new patients
Traditions Hospice of Biloxi, LLC CurrentSince Aug 1, 2022 Accepting new patients
Copiah County Medical Center CurrentSince Mar 30, 2022 Accepting new patients
Traditions Hospice of Biloxi, LLC CurrentSince Aug 1, 2022 Accepting new patients
Magee Benevolent Association Current Accepting new patients
Copiah County Medical Center CurrentSince Mar 30, 2022 Accepting new patients
Copiah County Medical Center Current Accepting new patients
Singing River Hospital System Past Accepting new patients
Muskingum Emergency Physicia Emergency Medicine Past Accepting new patients

Locations

1100 Highway 16 E
Carthage, MS 39051
Phone (601) 267-1100

2101 Highway 90
Gautier, MS 39553
Phone (228) 497-7576

1104 Broad Ave
Gulfport, MS 39501
Phone (228) 343-4057

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

4500 13th St
Gulfport, MS 39501
Phone (228) 236-3872

27190 Highway 28
Hazlehurst, MS 39083
Phone (601) 574-7000

300 SE 3rd Ave
Magee, MS 39111
Phone (601) 849-5070

3109 Bienville Blvd
Ocean Springs, MS 39564
Phone (228) 818-1100

3704 Bienville Blvd
#A3
Ocean Springs, MS 39564
Phone (228) 207-0390

2809 Denny Ave
Pascagoula, MS 39581
Phone (228) 809-5000

8150 N Central Expy
Ste 1800
Dallas, TX 75206
Phone (469) 501-1602

Organizations & group practices 16

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.

View all 16

Hospital & facility affiliations 63

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 63

NPI Registry JSON

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1861542482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 HIGHWAY 90",
            "city": "GAUTIER",
            "state": "MS",
            "postal_code": "395535340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2809 DENNY AVE",
            "city": "PASCAGOULA",
            "state": "MS",
            "postal_code": "395815301",
            "telephone_number": "228-809-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EMERICK",
        "first_name": "MATTHEW",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MS",
            "license": "MS16825",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00122796",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pascagoula, MS

Sources for this page

Verify at the official NPI Registry.