Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Medical Foundation of South MS

Organization Family Medicine Physician · NPI 1174542146

Medical Foundation of South MS provides Family Medicine Physician services in Long Beach, Mississippi. Registered with an NPI since 2006.

In the registry since
2006

Practice location Address checks out

5120 Beatline Rd Ste B
Long Beach, MS 39560-3815 Not confirmed with CMS for 18 years — call before visiting
Phone: (228) 868-4294
Fax: (228) 868-4293
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1174542146
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Randy Robinson — Administrator · (228) 865-1453
Other names Long Beach Walk-In Clinic
NPI enumeratedJuly 19, 2006
Last updated in NPPESMay 23, 2008
Mailing address1612 31st Ave, Gulfport, MS 39501-2750

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