MCCOLLOUGH PLASTIC SURGERY CLINIC
NPI 1043439128
Clinic/Center in Gulf Shores, AL

Active since April 25, 2007CLIA 01D1004060 · Waiver
350 CYPRESS BEND DR, GULF SHORES, AL 36542(251) 967-7673(251) 967-7647 Get Directions Write a Review

NPPES record last updated: August 27, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mccollough Plastic Surgery Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MCCOLLOUGH PLASTIC SURGERY CLINIC (NPI 1043439128) is a healthcare organization registered as a clinic/center in Gulf Shores, Alabama and active in the NPI registry since April 2007. The organization holds a CLIA Waiver certificate valid through September 17, 2026 and lists Louis O Priester, Chief Operating Officer, as its authorized official.

NPPES Registry Identity

NPI1043439128
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameE. GAYLON MCCOLLOUGH MD, LLC
Location Address350 CYPRESS BEND DRGulf Shores, AL 36542-2773
Mailing AddressPo Box 4249Gulf Shores, AL 36547-4249 · (251) 967-7673 · Fax (251) 967-7647
Fax(251) 967-7647
Organization SubpartNo
Authorized OfficialLouis O PriesterChief Operating Officer · (251) 967-7673
Enumeration DateApril 25, 2007
Last NPPES UpdateAugust 27, 2008
NPI 1043439128 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License Licensed in AL · 5584
Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

350 CYPRESS BEND DR, Gulf Shores, AL 36542

Other Names 1

Doing Business AsMccollough Plastic Surgery Clinic

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 01D1004060

Mccollough Plastic Surgery Clinic · Gulf Shores, AL
Active · expires Sep 17, 2026
CLIA Number01D1004060
Laboratory TypePhysician Office
Certificate Effective DateSeptember 18, 2024
Certificate Expiration DateSeptember 17, 2026
Laboratory DirectorE Gaylon Mccollough
Laboratory Phone(251) 967-7673
Laboratory LocationMccollough Plastic Surgery Clinic350 Cypress Bend Drive, Gulf Shores, AL 36542
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
350 CYPRESS BEND DR
GULF SHORES, AL 36542
Surgery (Plastic and Reconstructive Surgery)
350 CYPRESS BEND DR
GULF SHORES, AL 36542

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1043439128, enumerated as an "organization" on April 25, 2007.

The provider is located at 350 CYPRESS BEND DR GULF SHORES, AL 36542 and the phone number is (251) 967-7673.

Clinic/Center with taxonomy code 261Q00000X.