GARDEN PARK PHYSICIAN SERVICES CORP NPI 1881882405

NPI Information

  • NPI: 1881882405
  • Provider Name: GARDEN PARK PHYSICIAN SERVICES CORP
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Doing Business As: JOSEPH L. FAISON, M.D.
  • Address: 1924 30TH AVE
    GULFPORT, MS
    ZIP 39501
  • Phone: (228) 832-2004

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NPI Details

GARDEN PARK PHYSICIAN SERVICES CORP is a family medicine in Gulfport, 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. GARDEN PARK PHYSICIAN SERVICES CORP NPI is 1881882405. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Joseph L. Faison, M.d..

The provider's business location address is:

1924 30TH AVE
GULFPORT, MS
ZIP 39501-534
Phone: (228) 832-2004
Fax: (228) 832-4093

The provider's authorized official is Robert Lagesse .
The authorized official title is Vp and has the following contact phone number (866) 653-0021.

The enumeration date for this NPI number is 10/9/2007 and was last updated on 10/10/2007.

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
1207Q00000XFamily MedicineYes

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
1J5628OTHERMISSISSIPPIRR MEDICARE
202318MEDICARE PINMISSISSIPPI
309016021MEDICAIDMISSISSIPPI

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: 11/21/2025

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