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

Misissippi Providence Healthcare Services, Inc

Organization Family Medicine Physician · NPI 1639429970

Misissippi Providence Healthcare Services, Inc provides Family Medicine Physician services in Moss Point, Mississippi. Licensed in Alabama. Registered with an NPI since 2012.

Licensed in
AL
In the registry since
2012
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5907 Highway 90
Moss Point, MS 39563-6536 Not confirmed with CMS for 13 years — call before visiting
Phone: (228) 769-2611
Fax: (228) 762-1638
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X (AL)

Record details

NPI number1639429970
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Clark Christianson — President · (251) 631-3574
NPI enumeratedSeptember 13, 2012
Last updated in NPPESJanuary 22, 2013
Mailing addressPo Box 850489, Mobile, AL 36685-0489

Other providers in Moss Point