GULF SOUTH PEDIATRIC CARDIOLOGY, LLC
NPI 1073653903
Specialist in Gulfport, MS

NPI Status: Active since February 08, 2007

Contact Information

4500 13TH ST
611 BROAD AVENUE
GULFPORT, MS
ZIP 39501
Phone: (228) 868-7046
Fax: (228) 575-2120

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  • Organization
  • Specialist

About GULF SOUTH PEDIATRIC CARDIOLOGY, LLC

This page provides the complete NPI Profile along with additional information for Gulf South Pediatric Cardiology, Llc, a provider established in Gulfport, Mississippi operating as a Specialist. The healthcare provider is registered in the NPI registry with number 1073653903 assigned on February 2007. The practitioner's primary taxonomy code is 174400000X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Mrs. Lisa Ann Goodwin (Practice Manager)

NPI
1073653903
Provider Name
GULF SOUTH PEDIATRIC CARDIOLOGY, LLC
Entity Type
Organization
Location Address
4500 13TH ST 611 BROAD AVENUE GULFPORT, MS 39501
Location Phone
(228) 868-7046
Location Fax
(228) 575-2120
Mailing Address
4500 13TH ST 611 BROAD AVENUE GULFPORT, MS 39501
Mailing Phone
(228) 868-7046
Mailing Fax
(228) 575-2120
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-08-2007
Last Update Date
08-22-2020
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Specialist

Taxonomy Code
174400000X
Type
Other Service Providers
Taxonomy Description
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MRS. LISA ANN GOODWIN

Authorized Official Title
PRACTICE MANAGER
Authorized Official Phone
(228) 868-7046

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1073653903, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 57. The final step is to find the difference between that total and the next multiple of ten (60 - 57 = 3).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
7
Doubled → 14 → 1 + 4
Pos 4
3
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
5
Unchanged
Pos 7
3
Doubled → 6
Pos 8
9
Unchanged
Pos 9
0
Doubled → 0
Check
3
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 7 → 14 → 5 6 → 12 → 3 3 → 6 0 → 0

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 1 + 4 + 3 + 1 + 2 + 5 + 6 + 9 + 0 + 24 = 57

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 57 is 60. The difference is the calculated check digit.

60 - 57 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1073653903.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Pathology (Anatomic Pathology & Clinical Pathology)
4500 13TH ST
GULFPORT, MS 39501
Pathology (Anatomic Pathology & Clinical Pathology)
4500 13TH ST
GULFPORT, MS 39501
Internal Medicine
4500 13TH ST
GULFPORT, MS 39501
Preventive Medicine (Undersea and Hyperbaric Medicine)
4500 13TH ST, WOUND CARE DEPT/MEMORIAL HOSPITAL
GULFPORT, MS 39501
Emergency Medicine
4500 13TH ST, DEPT 03-007RC
GULFPORT, MS 39501
Pharmacist
4500 13TH ST
GULFPORT, MS 39501
Dietitian, Registered
4500 13TH ST
GULFPORT, MS 39501
Surgery
4500 13TH ST
GULFPORT, MS 39501
Emergency Medicine
4500 13TH ST
GULFPORT, MS 39501
Emergency Medicine
4500 13TH ST
GULFPORT, MS 39501
Emergency Medicine
4500 13TH ST
GULFPORT, MS 39501
Emergency Medicine (Emergency Medical Services)
4500 13TH ST
GULFPORT, MS 39501
Emergency Medicine
4500 13TH ST
GULFPORT, MS 39501
Emergency Medicine
4500 13TH ST
GULFPORT, MS 39501
Emergency Medicine
4500 13TH ST
GULFPORT, MS 39501
Nurse Practitioner
4500 13TH ST
GULFPORT, MS 39501
Anesthesiology
4500 13TH ST
GULFPORT, MS 39501
Anesthesiology
4500 13TH ST
GULFPORT, MS 39501
Anesthesiology
4500 13TH ST
GULFPORT, MS 39501
Anesthesiology
4500 13TH ST
GULFPORT, MS 39501

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1073653903, enumerated as an "organization" on February 08, 2007.

The provider is located at 4500 13TH ST 611 BROAD AVENUE GULFPORT, MS 39501 and the phone number is (228) 868-7046.

Specialist with taxonomy code 174400000X.