GULF COAST VASCULAR CARE, LLC
NPI 1043825540
Internal Medicine - Nephrology in Biloxi, MS

Active since September 11, 2020CLIA 25D2198411 · Waiver
14219 COOK RD, BILOXI, MS 39532(228) 207-0810 Get Directions Write a Review

NPPES record last updated: September 11, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Gulf Coast Vascular Care, Llc NPPES

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

GULF COAST VASCULAR CARE, LLC (NPI 1043825540) is a healthcare organization registered as a nephrology in Biloxi, Mississippi and active in the NPI registry since September 2020. The organization holds a CLIA Waiver certificate valid through November 1, 2026 and lists Kevin Gardner, Operations Officer, as its authorized official.

NPPES Registry Identity

NPI1043825540
Entity TypeOrganization
Primary Taxonomy207RN0300X
Legal Business NameGULF COAST VASCULAR CARE, LLC
Location Address14219 COOK RDBiloxi, MS 39532-9719
Mailing Address3001 Palm Harbor Blvd Ste APalm Harbor, FL 34683-1930 · (727) 474-0090 · Fax (727) 474-0055
Organization SubpartNo
Authorized OfficialKevin GardnerOperations Officer · (727) 474-0090
Enumeration DateSeptember 11, 2020
NPPES CertifiedSeptember 11, 2020
NPI 1043825540 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
14219 COOK RD, Biloxi, MS 39532

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

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 25D2198411

Gulf Coast Vascular Care · Biloxi, MS
Active · expires Nov 1, 2026
CLIA Number25D2198411
Laboratory TypePhysician Office
Certificate Effective DateNovember 2, 2024
Certificate Expiration DateNovember 1, 2026
Laboratory DirectorCharles Webb
Laboratory Phone(228) 207-0810
Laboratory LocationGulf Coast Vascular Care14219 Cook Rd, Biloxi, MS 39532
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

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

Nurse Practitioner
14219 COOK RD
BILOXI, MS 39532

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gulf Coast Vascular Care, LLC's NPI number?

The NPI number for Gulf Coast Vascular Care, LLC is 1043825540. It was assigned to this organization in the NPPES registry on September 11, 2020.

Where is Gulf Coast Vascular Care, LLC located?

Gulf Coast Vascular Care, LLC is located at 14219 Cook Rd, Biloxi, MS 39532. The listed phone number is (228) 207-0810.

What is Gulf Coast Vascular Care, LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Does Gulf Coast Vascular Care, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 25D2198411) is associated with this NPI, valid through November 1, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Gulf Coast Vascular Care, LLC accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee and 2 other insurers list Gulf Coast Vascular Care, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Gulf Coast Vascular Care, LLC was last updated on September 11, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.