Organization Active NPI

Memorial Hospital at Gulfport

Doing business as Memorial Emergency Physicians

  • Emergency Medicine Physician
  • Gulfport, MS
National Provider Identifier
1962780379
Registry record updated Jan 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
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, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2024

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)CodeLicenseStatePrimary
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 Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
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 IDStateProvider typePAC IDDetails
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 Directory

Locations (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.

View all 683

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

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.

Verify at the official NPI Registry.