PRIMESOURCE NURSING SERVICES, INC
PRIMESOURCE NURSING SERVICES, INC is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1962573170, based in Gulfport, MS. The organization lists 2 taxonomy classifications, with Family Nurse Practitioner recorded as primary.
Getting there
The practice address on file is 370 COURTHOUSE RD STE 106, Gulfport, MS 39507. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 7381 | MS | Family Nurse Practitioner primary |
This provider holds licence 7381 issued in MS. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Part B Supplier - Clinic/group Practice
- PAC ID
- 7113966037
- Enrollment ID
- O20050429000745
Medicare enrolment is recorded as approved under the provider type Part B Supplier - Clinic/group Practice. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Family covers
Definition to come... NUCC Health Care Provider Taxonomy, code 363LF0000X
All registered taxonomy codes
This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 363LF0000X | Family Nurse Practitioner Family | 7381 | MS | primary |
| 1041C0700X | Clinical Social Worker Clinical | — | — |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1962573170 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Nov 10, 2006 |
| Last updated | Jan 20, 2025 |
| Status | Active |
| Practice address |
370 COURTHOUSE RD STE 106 Gulfport, MS 39507 (228) 865-1330 Fax (228) 865-1331 |
| Mailing address |
PO BOX 6705 Gulfport, MS 39506 |
| Other identifiers |
06550237
· Medicaid (MS) |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 9 | 6 | 2 | 5 | 7 | 3 | 1 | 7 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 9 | 3 | 2 | 1 | 7 | 6 | 1 | 5 |
Sum = 60 · next multiple of 10 = 60 · check digit = 0 · actual last digit = 0
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.