Physician Assistant
KASSIE STAFFORD PA
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1245567775 · enumerated 2009-11-04 · record updated 2024-10-18. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Practice location 116 MENGE AVE APT A, PASS CHRISTIAN, MS, 39571-4738 (228) 586-9565 Fax (228) 864-3333 Google Maps Apple Maps OpenStreetMap
- Mailing address 11295 E. TAYLOR ROAD, GULFPORT, MS, 39503-4197 (228) 864-3300 Fax (228) 864-3333 Google Maps Apple Maps OpenStreetMap
Specialties
- Physician Assistant 363A00000X · License PA.200296 LA
- Physician Assistant 363A00000X · Primary · License PA00128 MS
In this directory
Locations and evidence
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Practice location
PASS CHRISTIAN, MS, 395714738
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.