GULF SOUTH SURGERY CENTER LLC
NPI 1154360501
Clinic/Center - Ambulatory Surgical in Gulfport, MS

Active since June 04, 2006
1206 31ST AVE, GULFPORT, MS 39501(228) 864-0008 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Gulf South Surgery Center Llc NPPES

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

GULF SOUTH SURGERY CENTER LLC (NPI 1154360501) is a healthcare organization registered as an ambulatory surgical in Gulfport, Mississippi and active in the NPI registry since June 2006. The organization lists Jason Smith, Administrator, as its authorized official.

NPPES Registry Identity

NPI1154360501
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameGULF SOUTH SURGERY CENTER LLC
Location Address1206 31ST AVEGulfport, MS 39501-1804
Mailing Address1206 31st AveGulfport, MS 39501-1804 · (228) 864-0008
Organization SubpartNo
Authorized OfficialJason SmithAdministrator · (228) 818-0563
Enumeration DateJune 4, 2006
Last NPPES UpdateAugust 22, 2020
NPI 1154360501 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
License Licensed in MS · 002
1206 31ST AVE, Gulfport, MS 39501

Other Identifiers 4

Other362773700MS · Owcp
OtherP00064348MS · Medicare Rail Road
Medicaid04608029MS
Other000050762MS · Blue Cross Blue Shield

Other Providers at the Same Location NPPES

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

General Acute Care Hospital
1206 31ST AVE
GULFPORT, MS 39501

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 South Surgery Center LLC's NPI number?

The NPI number for Gulf South Surgery Center LLC is 1154360501. It was assigned to this organization in the NPPES registry on June 4, 2006.

Where is Gulf South Surgery Center LLC located?

Gulf South Surgery Center LLC is located at 1206 31st Ave, Gulfport, MS 39501. The listed phone number is (228) 864-0008.

What is Gulf South Surgery Center LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

When was this NPI record last updated?

The NPPES record for Gulf South Surgery Center LLC was last updated on August 22, 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.