MISSISSIPPI CARDIOVASCULAR CENTER OF EXCELLENCE, LLC
NPI 1205561099
Internal Medicine - Cardiovascular Disease in Gautier, MS
About Mississippi Cardiovascular Center Of Excellence, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MISSISSIPPI CARDIOVASCULAR CENTER OF EXCELLENCE, LLC (NPI 1205561099) is a healthcare organization registered as a cardiovascular disease in Gautier, Mississippi and active in the NPI registry since July 2022. The organization lists Jeff Doyle, Director Of Communication, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Accepted 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)
Mississippi Cardiovascular Center Of Excellence, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
8Medicare enrollment records show 8 clinicians reassign Medicare billing to Mississippi Cardiovascular Center Of Excellence, LLC, which bills Medicare for the services they deliver. Of these, 7 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (8)
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 25D2270752
Mississippi Cardiovascular Center Of Excellence · Gautier, MSFrequently 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 Mississippi Cardiovascular Center Of Excellence, LLC's NPI number?
The NPI number for Mississippi Cardiovascular Center Of Excellence, LLC is 1205561099. It was assigned to this organization in the NPPES registry on July 18, 2022.
Where is Mississippi Cardiovascular Center Of Excellence, LLC located?
Mississippi Cardiovascular Center Of Excellence, LLC is located at 2012 Highway 90 Ste 2, Gautier, MS 39553. The listed phone number is (228) 300-3007.
What is Mississippi Cardiovascular Center Of Excellence, LLC's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.
Is Mississippi Cardiovascular Center Of Excellence, LLC enrolled in Medicare?
Yes. Mississippi Cardiovascular Center Of Excellence, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Mississippi Cardiovascular Center Of Excellence, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 8 clinicians, all in Cardiovascular Disease (Cardiology), reassign their Medicare billing to Mississippi Cardiovascular Center Of Excellence, 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. Of these, 7 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Mississippi Cardiovascular Center Of Excellence, LLC accept?
Health plans from Blue Cross and Blue Shield of Alabama and Cigna Healthcare list Mississippi Cardiovascular Center Of Excellence, 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 Mississippi Cardiovascular Center Of Excellence, LLC was last updated on August 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Mississippi Cardiovascular Center Of Excellence, Llc · NPI 1205561099
Cardiovascular Disease organization in Gautier, Mississippi. Organization record, active in the CMS NPPES registry since July 18, 2022.
## Identity
- **NPI:** 1205561099 (Entity type: Organization)
- **Enumerated:** July 18, 2022
- **Primary specialty:** Internal Medicine - Cardiovascular Disease · taxonomy 207RC0000X
- **Organization subpart:** No
- **Authorized official:** Jeff Doyle, DIRECTOR OF COMMUNICATION
## Practice location
- **Address:** 2012 HIGHWAY 90 STE 2, Gautier, MS 39553-5305
- **Phone:** (228) 300-3007
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 8 clinicians (Cardiovascular Disease (Cardiology)) reassign Medicare billing to this organization (form CMS-855R); 7 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 5, 2022
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1205561099) · Data from the CMS NPPES public registry.