Individual provider Active NPI

Gregory R Myrick, M.D.

  • Family Medicine Physician
  • Millry, AL
National Provider Identifier
1972786960
Registry record updated Dec 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD30396 Issued in AL
Practice address
73 Long Street
Millry, AL 36558
Phone
(251) 846-3233
Fax
(251) 846-3224
NPI assigned
Dec 12, 2007
Last updated
Dec 20, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 20, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Emergency Medicine Physician 207P00000X 23499 MS
Family Medicine Physician 207Q00000X MD30396 AL Primary

Addresses

Primary practice location

73 Long Street
Millry, AL 36558

Mailing address

PO Box 465
Millry, AL 36558-0465
Phone (251) 846-3233

Other practice location 1

15200 Community Rd
Gulfport, MS 39503-3085
Phone (228) 575-7000

Other identifiers 1

IdentifierTypeStateIssuer
181032MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, MS2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20101122000963 AL Practitioner - Family PracticePractitioner - Emergency Medicine 9335335942 Reassigns benefits to 14 organizations
I20150305000767 MS Practitioner - Family PracticePractitioner - Emergency Medicine 9335335942 Reassigns benefits to 12 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2007
Medicare assignment
May accept Medicare assignment
Group practices
George Regional ER PhysiciansGroup PAC ID 6608180138, 10 clinicians

Practice addresses (Care Compare)

859 Winter St
Lucedale, MS 39452-6603
Phone (601) 947-1330

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD30396ALMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
George County Hospital Current Accepting new patients
RH Emergency Medicine of Highland Community LLC Emergency Medicine CurrentSince Feb 1, 2024 Accepting new patients
George Regional ER Physicians CurrentSince Jun 13, 2015 Accepting new patients
Ies Alabama PLLC Emergency Medicine CurrentSince Jan 1, 2025 Accepting new patients
RH Hospitalist Medicine of Walthall General LLC CurrentSince May 1, 2024 Accepting new patients
George County Hospital- Erp CurrentSince Jan 31, 2015 Accepting new patients
George County Hospital CurrentSince Jan 31, 2015 Accepting new patients
RH Hospitalist Medicine of Jefferson Davis LLC CurrentSince May 11, 2024 Accepting new patients
Healing Headquarters Inc Family Medicine CurrentSince Jul 12, 2025 Accepting new patients
Keystone Medical Services of Ms, Inc Emergency Medicine CurrentSince May 1, 2022 Accepting new patients
American Family Care, LLC Family Medicine CurrentSince Jan 3, 2012 Accepting new patients
Greater Mobile Urgent Care Family Medicine CurrentSince Aug 1, 2011 Accepting new patients
Compass Urgent Care LLC CurrentSince May 1, 2012 Accepting new patients
American Family Care, LLC CurrentSince Jan 3, 2012 Accepting new patients
Washington County Healthcare Authority, Inc CurrentSince Dec 22, 2025 Accepting new patients
RH Emergency Medicine of Walthall General LLC Emergency Medicine CurrentSince May 1, 2024 Accepting new patients
RH Emergency Medicine of Jefferson Davis LLC Emergency Medicine CurrentSince May 1, 2024 Accepting new patients
University of South Alabama Emergency Medicine CurrentSince Sep 1, 2010 Accepting new patients
Elite Urgent Care LLC CurrentSince Apr 1, 2023 Accepting new patients
American Family Care, LLC Current Accepting new patients
Greene County Family Medical Clinic CurrentSince Jun 15, 2015 Accepting new patients
App of Mississippi Ed, LLC Emergency Medicine CurrentSince Jun 30, 2018 Accepting new patients
Compass Providence Urgent Care LLLP CurrentSince Nov 3, 2014 Accepting new patients
Keystone Medical Services of Alabama, Inc. Emergency Medicine CurrentSince May 1, 2022 Accepting new patients
Greater Mobile Urgent Care Family Medicine CurrentSince Aug 1, 2011 Accepting new patients
South Alabama Medical Clinic, LLC Family Medicine CurrentSince Jul 5, 2011 Accepting new patients
RH Emergency Medicine of Marion General LLC Emergency Medicine CurrentSince Jan 1, 2024 Accepting new patients
Singing River Gulfport CurrentSince Nov 25, 2022 Accepting new patients
Mobile Emergency Physicians, LLC Emergency Medicine CurrentSince May 1, 2014 Accepting new patients
Elite Urgent Care LLC CurrentSince Apr 1, 2023 Accepting new patients
Gmuc of Springhill LLC Family Medicine CurrentSince Aug 1, 2011 Accepting new patients
University of South Alabama Family Medicine Current Accepting new patients
USA Health Community Providers LLC Family Medicine PastSince Dec 22, 2025 Accepting new patients
Lucedale Family Medical Clinic Family Medicine Past Accepting new patients

Locations

1613 N McKenzie St
Foley, AL 36535
Phone (251) 949-3400

10075 Grand Bay Wilmer Rd S
Grand Bay, AL 36541
Phone (251) 865-1852

8151 Whitesburg Dr SE
Huntsville, AL 35802
Phone (256) 882-9711

73 Long St
Millry, AL 36558
Phone (251) 846-3233

75 5th Ave
Millry, AL 36558
Phone (251) 846-3233

2350 Schillinger Rd S
Ste A
Mobile, AL 36695
Phone (251) 633-0123

2451 Fillingim St
Mobile, AL 36617
Phone (251) 434-3711

4402 Old Shell Rd
Mobile, AL 36608
Phone (251) 633-0123

4682 Airport Blvd
Mobile, AL 36608
Phone (251) 342-4900

6801 Airport Blvd
Mobile, AL 36608
Phone (251) 266-3580

6901 Airport Blvd
Mobile, AL 36608
Phone (251) 633-2273

9985 Airport Blvd
Mobile, AL 36608
Phone (251) 633-2273

7943 Moffett Rd
Semmes, AL 36575
Phone (251) 445-7618

1330 Highway 231 S
Troy, AL 36081
Phone (334) 370-5000

150 Reynoir St
Biloxi, MS 39530
Phone (228) 284-2389

1560 Sumrall Rd
Columbia, MS 39429
Phone (601) 736-6303

15200 Community Rd
Gulfport, MS 39503
Phone (228) 575-7000

350 Cowan Rd
Gulfport, MS 39507
Phone (228) 206-7054

1017 Jackson Ave
Leakesville, MS 39451
Phone (601) 394-2820

859 Winter St
Lucedale, MS 39452
Phone (601) 766-4286

130 Highland Pkwy
Picayune, MS 39466
Phone (601) 358-9400

1102 Rose St
Prentiss, MS 39474
Phone (601) 792-2947

100 Hospital Dr
Tylertown, MS 39667
Phone (601) 876-0455

6075 Poplar Ave
Ste 401
Memphis, TN 38119
Phone (901) 795-3600

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

Organizations & group practices 35

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 35

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1197417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671494400000",
    "number": "1972786960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 465",
            "city": "MILLRY",
            "state": "AL",
            "postal_code": "365580465",
            "telephone_number": "251-846-3233",
            "fax_number": "251-846-3224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "73 LONG STREET",
            "city": "MILLRY",
            "state": "AL",
            "postal_code": "36558",
            "telephone_number": "251-846-3233",
            "fax_number": "251-846-3224"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15200 Community Rd",
            "address_purpose": "LOCATION",
            "city": "Gulfport",
            "state": "MS",
            "postal_code": "395033085",
            "country_code": "US",
            "telephone_number": "228-575-7000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MYRICK",
        "first_name": "GREGORY",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-12-12",
        "last_updated": "2022-12-20",
        "certification_date": "2022-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MS",
            "license": "23499",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "MD30396",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "181032",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Millry, AL

Sources for this page

Verify at the official NPI Registry.