SOUTHERN VISION CENTER GULFPORT LLC
NPI 1073299244
Ophthalmology in Gulfport, MS

Q: What is Southern Vision Center Gulfport LLC's NPI number?

The NPI number for Southern Vision Center Gulfport LLC is 1073299244. It was assigned to this organization in the NPPES registry on June 23, 2023. The provider is doing business as Southern Vision Center.

Q: What is Southern Vision Center Gulfport LLC's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Active since June 23, 2023

351 COWAN RD, GULFPORT, MS 39507(228) 896-1120(228) 896-1332 Get Directions Write a Review

NPPES record last updated: July 2, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 2, 2025, Dec 23, 2024, Dec 17, 2024 and 3 more (6 updates tracked since 2023).

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About Southern Vision Center Gulfport Llc NPPES

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

SOUTHERN VISION CENTER GULFPORT LLC (NPI 1073299244), doing business as Southern Vision Center, is a healthcare organization registered as an ophthalmology in Gulfport, Mississippi and active in the NPI registry since June 2023. The organization lists Kiper Nelson, Managing Director, as its authorized official.

NPPES Registry Identity

NPI1073299244

Entity TypeOrganization

Primary Taxonomy207W00000X

Legal Business NameSOUTHERN VISION CENTER GULFPORT LLC

Location Address351 COWAN RDGulfport, MS 39507-2019

Mailing Address351 Cowan RdGulfport, MS 39507-2019 · (228) 896-1120 · Fax (228) 896-1332

Phone(228) 896-1120

Fax(228) 896-1332

Organization SubpartNo

Authorized OfficialKiper NelsonManaging Director · (601) 606-4307

Enumeration DateJune 23, 2023

Last NPPES UpdateJuly 2, 20256 updates tracked since enumeration

NPPES CertifiedJuly 2, 2025

✔ NPI 1073299244 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

351 COWAN RD, Gulfport, MS 39507

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Other Names 1

Doing Business AsSouthern Vision Center

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)

Southern Vision Center Gulfport Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 4 clinicians reassign Medicare billing to Southern Vision Center Gulfport LLC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (4)

Edward Langlow, MD

Ophthalmology

NPI 1407853401

804 HEAVENS DR SUITE 102
Mandeville, LA 70471

(985) 792-1141

✔ PECOS✔ Accepts Medicare65 mi

Kiper Nelson, M.D.

Ophthalmology

NPI 1548263312

1420 S 28TH AVE
Hattiesburg, MS 39402

(601) 264-3937

✔ PECOS✔ Accepts Medicare65 mi

Wade Tucker, M.D.

Ophthalmology

NPI 1598299810

1420 S 28TH AVE
Hattiesburg, MS 39402

(601) 264-3937

✔ PECOS✔ Accepts Medicare65 mi

Katherine Reynolds, OD

Optometry

NPI 1003433467

2901 ARLINGTON LOOP
Hattiesburg, MS 39401

(601) 268-5144

✔ PECOS✔ Accepts Medicare67 mi

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

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 Southern Vision Center Gulfport LLC's NPI number?

The NPI number for Southern Vision Center Gulfport LLC is 1073299244. It was assigned to this organization in the NPPES registry on June 23, 2023. The provider is doing business as Southern Vision Center.

Where is Southern Vision Center Gulfport LLC located?

Southern Vision Center Gulfport LLC is located at 351 Cowan Rd, Gulfport, MS 39507. The listed phone number is (228) 896-1120.

What is Southern Vision Center Gulfport LLC's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Southern Vision Center Gulfport LLC enrolled in Medicare?

Yes. Southern Vision Center Gulfport LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Southern Vision Center Gulfport LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians in 2 Medicare specialties reassign their Medicare billing to Southern Vision Center Gulfport LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Ophthalmology (3) and Optometry (1). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Southern Vision Center Gulfport 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 Southern Vision Center Gulfport 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 Southern Vision Center Gulfport LLC was last updated on July 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.