Family Clinic,PLLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

11462 Issued in MS

Legal business name

FAMILY CLINIC,PLLC

Practice address

350 Cowan Rd
Gulfport, MS 39507-2008

Phone

(228) 896-5195

Fax

(228) 897-2395

NPI assigned

Sep 5, 2008

Last updated

Jul 19, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Eugene David McNally, M.D., M.P.H.NPI 1427128255

Title

Owner

Phone

(228) 896-5195

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Eugene David McNally, MD MPH

  • General Practice Physician
  • Gulfport, MS
  • NPI 1427128255
  Authorized official Same address or phone

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

{
    "created_epoch": "1220572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374192000000",
    "number": "1902054679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 COWAN RD",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395072008",
            "telephone_number": "228-896-5195",
            "fax_number": "228-897-2395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 COWAN RD",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395072008",
            "telephone_number": "228-896-5195",
            "fax_number": "228-897-2395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY CLINIC,PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-05",
        "last_updated": "2013-07-19",
        "status": "A",
        "authorized_official_last_name": "MCNALLY",
        "authorized_official_first_name": "EUGENE",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "228-896-5195",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D., M.P.H."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "MS",
            "license": "11462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessika Fairley
• Joanne Fairley, NP
• Tia Fairley
• Fairy Wings Mobile Phlebotomy Service LLC (Fairy Wings Laboratory and Specialty Services)
• Kali Falnes
• Gail Farrar I, M.D.
• Troy W Farris, LPC
• Dessie Elizabeth Faulkner, LMFT
• Elisabeth Brownlee Faust, LCSW
• Melanie Lynne Fayard, P.T.

• Primary Care Clinic/Center in Gulfport, MS
• Providers in Gulfport, MS by specialty
• Primary Care Clinic/Center in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2013; 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.