OrganizationActive
Misissippi Providence Healthcare Services, Inc.
NPI 1639429970 · Family Medicine Physician · Moss Point, MS
Provider details
- NPI number
- 1639429970
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Clark Christianson, President(251) 631-3574
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
5907 Highway 90
Moss Point, MS 39563-6536
Phone: (228) 769-2611
Fax: (228) 762-1638
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 850489
Mobile, AL 36685-0489
Registry dates
- Enumerated
- 2012-09-13
- Last updated
- 2013-01-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.