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Centerwell Senior Primary Care Ms PC

Internal Medicine Physician in Gulfport, MS · enumerated 2022 · authorized official Angie Martinez, Senior Credentialing Professional.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1003528092

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Registry record

Entity type Organization (Type 2)
Legal business name Centerwell Senior Primary Care Ms PC
Other name <Unavail>
Parent organization Centerwell Senior Primary Care Ms PC
Practice address 12057 Highway 49 Ste C, Gulfport, MS, 39503
Phone (228) 832-9385
Fax (877) 504-6444
Enumeration date Dec 21, 2022
Last updated in NPPES Jul 3, 2024

Taxonomy & classification

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians Secondary
207R00000X Internal Medicine Physician Allopathic & Osteopathic Physicians Primary
208D00000X General Practice Physician Allopathic & Osteopathic Physicians Secondary

Authorized official

Name Angie Martinez
Title Senior Credentialing Professional
Phone (407) 447-7120

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where is Centerwell Senior Primary Care Ms PC located?
The practice location on file with NPPES is in Gulfport, MS.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2024-07-03. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-07-03.