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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: October 18, 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
Phone(228) 207-0810
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.
Also ListedRadiology · Vascular & Interventional RadiologyTaxonomy 2085R0204X
14219 COOK RD, Biloxi, MS 39532
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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

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Gulf Coast Vascular Care, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

7

Medicare enrollment records show 7 clinicians reassign Medicare billing to Gulf Coast Vascular Care, LLC, which bills Medicare for the services they deliver. Of these, 3 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (7)

Tammy Reus, MSN, FNP-C
Nurse Practitioner
NPI 1235943341
2112 BIENVILLE BLVD STE F1
Ocean Springs, MS 39564
(228) 818-1850
✔ PECOS✔ Accepts Medicare4.4 mi
Bart Edmiston, MD
Anesthesiology
NPI 1508934464
3631 BIENVILLE BLVD. SUITE A
Ocean Springs, MS 39564
(228) 818-9620
✔ PECOS✔ Accepts Medicare6.3 mi
Rogin Subedi, MD
Cardiovascular Disease (Cardiology)
NPI 1154797991
3704 BIENVILLE BLVD STE B
Ocean Springs, MS 39564
(228) 872-4040
✔ PECOS✔ Accepts Medicare6.5 mi
Ediz Tasan, M.D.
Cardiovascular Disease (Cardiology)
NPI 1053670166
4300 HOSPITAL ST STE 102
Pascagoula, MS 39581
(228) 762-1002
✔ PECOS✔ Accepts Medicare20 mi
Satjit Adlakha, D.O.
Cardiovascular Disease (Cardiology)
NPI 1356550594
3111 SHORTCUT RD
Pascagoula, MS 39567
(228) 205-3496
✔ PECOS✔ Accepts Medicare20 mi
Ghulam Awan, MD
Cardiovascular Disease (Cardiology)
NPI 1760431662
2451 UNIVERSITY HOSPITAL DRIVE BLDG. C
Mobile, AL 36617
(251) 445-8242
✔ PECOS✔ Accepts Medicare49 mi
Eric Hall, M.D.
Diagnostic Radiology
NPI 1295976272
10310 THE GROVE BLVD
Baton Rouge, LA 70836
(225) 761-5200
✔ PECOS✔ Accepts Medicare132 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

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.

Is Gulf Coast Vascular Care, LLC enrolled in Medicare?

Yes. Gulf Coast Vascular Care, LLC is registered in the Medicare PECOS enrollment system.

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 Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 1 other insurer 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 6 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.