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

Medical Foundation of South MS

Organization Pediatrics Physician · NPI 1356469423

Medical Foundation of South MS provides Pediatrics Physician services in Gulfport, Mississippi. Licensed in Mississippi. Registered with an NPI since 2007.

Licensed in
MS
In the registry since
2007
Specialties on file
2

Practice location Address checks out

1110 Broad Ave Ste 700
Gulfport, MS 39501-8907 Not confirmed with CMS for 18 years — call before visiting
Phone: (228) 864-4151
Show map & directions

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

Specialties & licences

Clinical Medical Laboratory (primary) Taxonomy 291U00000X (MS)
Pediatrics Physician Taxonomy 208000000X

Record details

NPI number1356469423
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Randy Robinson — Administrator · (228) 865-1453
Other names Medical Foundation Of South Ms Lab
NPI enumeratedMarch 27, 2007
Last updated in NPPESJune 13, 2008
Mailing address1612 31st Ave, Gulfport, MS 39501-2750

Other providers in Gulfport