OrganizationActive
Memorial Hospital at Gulfport
NPI 1881021350 · Family Medicine Physician · Long Beach, MS
Provider details
- NPI number
- 1881021350
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Peggy Noonan, Physician Business Services Dir.(228) 575-1740
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Internal Medicine Physician207R00000X
Allopathic & Osteopathic Physicians
- Nurse Practitioner363L00000X
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Detailed profile(77/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 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
5120 Beatline Rd
Long Beach, MS 39560-3815
Phone: (228) 868-4287
Fax: (228) 868-4293
Street-level locationGet directions
Mailing address
Po Box 1810
Gulfport, MS 39502-1810
Registry dates
- Enumerated
- 2013-09-30
- Last updated
- 2024-01-09
- Certified
- 2024-01-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.