OrganizationActive
Picayune Family Practice Clinic, LLC
NPI 1972771806 · Primary Care Clinic/Center · Picayune, MS
Provider details
- NPI number
- 1972771806
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Amy Ali, Owner(228) 385-7715
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
422 Memorial Blvd
Picayune, MS 39466-5544
Phone: (601) 798-2151
Fax: (601) 798-2184
Street-level locationGet directions
Mailing address
Po Box 6913
Gulfport, MS 39506-6913
Other names (DBA / former)
- Doing business as
- Picayune Family Clinic
Registry dates
- Enumerated
- 2008-02-13
- Last updated
- 2008-02-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.