Medical Foundation of South Ms

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

MEDICAL FOUNDATION OF SOUTH MS

Practice address

5120 Beatline Rd
Suite a
Long Beach, MS 39560-3815

Phone

(228) 868-4287

Fax

(228) 868-4293

NPI assigned

Jun 22, 2006

Organization subpart

No

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

Addresses

Other identifiers 1

Other names 1

• Beatline Internal Medicine Doing business as

Locations

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207094400000",
    "number": "1891731287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 14TH ST FL 4",
            "address_2": "P.O. BOX 98",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395011962",
            "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": "5120 BEATLINE RD",
            "address_2": "SUITE A",
            "city": "LONG BEACH",
            "state": "MS",
            "postal_code": "395603815",
            "telephone_number": "228-868-4287",
            "fax_number": "228-868-4293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL FOUNDATION OF SOUTH MS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-22",
        "last_updated": "2008-04-02",
        "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": "09014380",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Beatline Internal Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Max M Edrington Optometrist PA
• Beth K McGee, LPN
• Emily McDermott McGinity, DPT
• Medical Foundation of South Ms
• Medical Foundation of South Ms
• Memorial Hospital at Gulfport
• Memorial Hospital at Gulfport
• Memorial Hospital at Gulfport
• Memorial Hospital at Gulfport
• Karen E. Merkle, PT

• Internal Medicine Physician in Long Beach, MS
• Providers in Long Beach, MS by specialty
• Internal Medicine Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2008; 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.