PAS-POINT FAMILY CLINIC LLC NPI 1639621675

NPI Information

NPI: 1639621675
Provider Name: PAS-POINT FAMILY CLINIC, LLC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
CLIA Number: 25D0891779
Address: 3736 MAIN ST
MOSS POINT, MS
ZIP 39563
Phone: (228) 474-2242

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NPI Details

PAS-POINT FAMILY CLINIC, LLC is a family medicine in Moss Point, MS. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. PAS-POINT FAMILY CLINIC, LLC NPI is 1639621675. The provider is registered as an organization entity type.

The provider's business location address is:

3736 MAIN ST
MOSS POINT, MS
ZIP 39563-108
Phone: (228) 474-2242
Fax: (228) 475-6271

The provider's authorized official is Dunk A Ellis .
The authorized official title is Owner and has the following contact phone number (228) 474-2212.

The CLIA number assigned to this NPI record is 25D0891779 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 10/25/2016 and was last updated on 2/1/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM2500X	Clinic/Center	Medical Specialty	17210	MISSISSIPPI	No
2	207Q00000X	Family Medicine				Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	00113221	MEDICAID	MISSISSIPPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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