Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
SOUTHERN FAMILY URGENT CARE LLC
Active
Organization
SOUTHERN FAMILY URGENT CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA R MIZELL FNP (OWNER/ NURSE PRACTITIONER)
(228) 896-7108
Entity
Organization
Contact information
Practice address
12303 HIGHWAY 49, GULFPORT, MS 39503-2780
(228) 999-9999
Mailing address
PO BOX 787, GRAND BAY, AL 36541-0787
(228) 206-6882
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03337280
—
MS
Enumeration date
03/02/2020
Last updated
02/14/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up