Misissippi Providence Healthcare Services, Inc.
NPI 1639429970 · Family Medicine Physician · Moss Point, MS
Misissippi Providence Healthcare Services, Inc. is a Family Medicine Physician organization in Moss Point, MS (NPI 1639429970).
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
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 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
Mailing address
Registry dates
- Enumerated
- 2012-09-13
- Last updated
- 2013-01-22
Frequently asked questions
- What is Misissippi Providence Healthcare Services, Inc.'s NPI number?
- Misissippi Providence Healthcare Services, Inc.'s National Provider Identifier (NPI) is 1639429970, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Misissippi Providence Healthcare Services, Inc.?
- Misissippi Providence Healthcare Services, Inc. is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Misissippi Providence Healthcare Services, Inc. located?
- Misissippi Providence Healthcare Services, Inc.'s practice location on file with NPPES is 5907 Highway 90, Moss Point, MS 39563-6536.
- What is Misissippi Providence Healthcare Services, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Misissippi Providence Healthcare Services, Inc. is (228) 769-2611.
- Who is the authorized official for Misissippi Providence Healthcare Services, Inc.?
- The authorized official listed on Misissippi Providence Healthcare Services, Inc.'s NPPES record is Clark Christianson, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Misissippi Providence Healthcare Services, Inc.'s NPI active?
- Yes — Misissippi Providence Healthcare Services, Inc.'s NPI (1639429970) is active in the NPPES registry as of the last update on 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.