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

Pascagoula Family Practice Clinic PLLC

Organization Family Medicine Physician · NPI 1134155732

Pascagoula Family Practice Clinic PLLC provides Family Medicine Physician services in Pascagoula, Mississippi. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

Ste 202 4211 Hospital St
Pascagoula, MS 39581-5310 Not confirmed with CMS for 15 years — call before visiting
Phone: (228) 762-3466
Fax: (228) 762-6349
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 number1134155732
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gary Groff — Partner · (228) 762-3466
NPI enumeratedJune 24, 2006
Last updated in NPPESJanuary 28, 2011
Mailing addressSte 202, 4211 Hospital Street, Pascagoula, MS 39581-5310

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