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

Primary Care Medical Center of Gulfport, PLLC

Organization Family Medicine Physician · NPI 1427271840

Primary Care Medical Center of Gulfport, PLLC provides Family Medicine Physician services in Gulfport, Mississippi. Registered with an NPI since 2007.

In the registry since
2007
Specialties on file
2
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

15444 Dedeaux Rd Ste B
Gulfport, MS 39503-2637 Not confirmed with CMS for 19 years — call before visiting
Phone: (228) 832-9038
Fax: (228) 832-9990
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Occupational Medicine Physician Taxonomy 2083X0100X

Record details

NPI number1427271840
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Angela McClure — Insurance Clerk · (228) 832-9038
NPI enumeratedApril 11, 2007
Last updated in NPPESJuly 13, 2007
Mailing address15444 Dedeaux Rd, Ste. B, Gulfport, MS 39503-2637

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