Active NPI
Memorial Hospital at Gulfport
Doing business as Memorial Emergency Physicians
- Emergency Medicine Physician
- Gulfport, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- Legal business name
- MEMORIAL HOSPITAL AT GULFPORT
- Doing business as
- Memorial Emergency Physicians
- Practice address
- 4500 13TH St
Emergency Department
Gulfport, MS 39501-2515 - Phone
- (228) 865-3451
- Fax
- (228) 867-4124
- NPI assigned
- Aug 2, 2011
- Last updated
- Jan 9, 2024
- 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
- Peggy Lorraine Noonan, BS, CPC
- Title
- Physician Business Services Dir.
- Phone
- (228) 575-1740
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | NU | Primary |
Addresses
Primary practice location
4500 13TH St
Emergency Department
Gulfport, MS 39501-2515
Mailing address
PO Box 555
Biloxi, MS 39533-0555
Phone (228) 865-1453
Other names 1
- Memorial Emergency Physicians
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://esmd.cioxhealth.com:8291/Gateway/DocumentSubmission/1_1/NhinService/XDRRequest_Service | Other | Ciox Health |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090515000396 | MS | Part B Supplier - Clinic/Group Practice | 2466524012 |
Receives reassigned benefits from 753 practitioners This NPI is an additional NPI on the enrollment |
National Provider Directory
National Provider DirectoryLocations (25 of 43)
618 Blue Meadow Rd
#20
Bay Saint Louis, MS 39520
Phone (228) 463-0824
1001 Benigno Ln
Bay St Louis, MS 39520
Phone (228) 467-1414
179 Drinkwater Rd
Bay St Louis, MS 39520
Phone (228) 395-1234
300 Drinkwater Rd
Bay St Louis, MS 39520
Phone (228) 255-6868
833 Highway 90
Ste 1
Bay St Louis, MS 39520
Phone (228) 575-2828
833 Highway 90
Ste 17
Bay St Louis, MS 39520
Phone (228) 396-3141
835 Thames Ave
Bay St Louis, MS 39520
Phone (228) 466-4977
14209 Cook Rd
Biloxi, MS 39532
Phone (228) 575-2536
14209 Cook Rd
#100
Biloxi, MS 39532
Phone (228) 575-2474
147 Reynoir St
Ste 201
Biloxi, MS 39530
Phone (228) 436-1348
147 Reynoir St
Ste 204
Biloxi, MS 39530
Phone (228) 374-6296
1759 Medical Park Dr
Biloxi, MS 39532
Phone (228) 385-0075
1759 Medical Park Dr
#B
Biloxi, MS 39532
Phone (228) 575-2660
920 Tommy Munro Dr
Ste 200
Biloxi, MS 39532
Phone (228) 575-1180
920 Tommy Munro Dr
Ste 202
Biloxi, MS 39532
Phone (228) 867-5003
970 Tommy Munro Dr
Biloxi, MS 39532
Phone (228) 207-7102
45000 E Aloha Dr
Ste A
Diamondhead, MS 39525
Phone (228) 822-6006
10374 Lamey Bridge Rd
Diberville, MS 39540
Phone (228) 392-1300
10395 Auto Mall Pkwy
Diberville, MS 39540
Phone (228) 822-6233
6510 Highway 90
#A
Gautier, MS 39553
Phone (228) 822-6148
726 Highway 90
Ste E
Gautier, MS 39553
Phone (228) 497-2334
1213 Broad Ave
Ste 3
Gulfport, MS 39501
Phone (228) 575-1865
12266 Ashley Dr
Gulfport, MS 39503
Phone (228) 225-4832
1314 44TH Ave
Gulfport, MS 39501
Phone (228) 868-8565
1340 Broad Ave
Gulfport, MS 39501
Phone (228) 575-2902
Practitioners & affiliated clinicians
Practitioners 683
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.
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Jackson, MS
- NPI 1114969011
-
- Interventional Cardiology Physician
- Pascagoula, MS
- NPI 1356550594
-
- Nurse Practitioner
- Gulfport, MS
- NPI 1134717622
-
- Urology Physician
- Biloxi, MS
- NPI 1326674029
-
- Nurse Practitioner
- Gulfport, MS
- NPI 1043773815
-
- Internal Medicine Physician
- Biloxi, MS
- NPI 1083661946
-
- Anesthesiology Physician
- Gulfport, MS
- NPI 1215565148
-
- Surgery Physician
- Bay St Louis, MS
- NPI 1356349401
-
- Family Nurse Practitioner
- Bay Saint Louis, MS
- NPI 1841642733
-
- Cardiovascular Disease Physician
- Gulfport, MS
- NPI 1720039043
-
- Acute Care Nurse Practitioner
- Gulfport, MS
- NPI 1306409040
Single Specialty
-
- Physician Assistant
- Pascagoula, MS
- NPI 1861929655
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1312243200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1704758400000",
"number": "1962780379",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 555",
"city": "BILOXI",
"state": "MS",
"postal_code": "395330555",
"telephone_number": "228-865-1453",
"fax_number": "228-865-1457"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4500 13TH ST",
"address_2": "EMERGENCY DEPARTMENT",
"city": "GULFPORT",
"state": "MS",
"postal_code": "395012515",
"telephone_number": "228-865-3451",
"fax_number": "228-867-4124"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEMORIAL HOSPITAL AT GULFPORT",
"organizational_subpart": "NO",
"enumeration_date": "2011-08-02",
"last_updated": "2024-01-09",
"certification_date": "2024-01-09",
"status": "A",
"authorized_official_last_name": "NOONAN",
"authorized_official_first_name": "PEGGY",
"authorized_official_middle_name": "LORRAINE",
"authorized_official_title_or_position": "PHYSICIAN BUSINESS SERVICES DIR.",
"authorized_official_telephone_number": "228-575-1740",
"authorized_official_credential": "BS, CPC"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://esmd.cioxhealth.com:8291/Gateway/DocumentSubmission/1_1/NhinService/XDRRequest_Service",
"affiliation": "Y",
"endpointDescription": "esmd.cioxhealth.com '2.16.840.1.113883.3.6635.1.1'",
"affiliationName": "Ciox Health",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD eMDR",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "925 N Point Pkwy",
"city": "Alpharetta",
"state": "GA",
"country_code": "US",
"postal_code": "300055210",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "Memorial Emergency Physicians",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Gulfport, MS
- Memorial Hospital at Gulfport (Physicians Clinic at MHG)
- Memorial Hospital at Gulfport (Physicians Clinic at MHG)
- Memorial Hospital at Gulfport (Physicians Clinic at MHG)
- Memorial Hospital at Gulfport
- Memorial Hospital at Gulfport (Physicians Clinic at MHG)
- Memorial Hospital at Gulfport (Physicians Clinic at MHG)
- Memorial Hospital at MHG (Physicians Clinic at MHG)
- Memorial Hospital of Gulfport (Physicians Clinic at MHG)
- Memorial Hospital of Gulfport (MHG Employee Pharmacy)
- Tiffany Mensi, FNP-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2024; 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.