SOUTH MISSISSIPPI HEART AND VASCULAR INSTITUTE PLLC
NPI 1255367736
Specialist in Gulfport, MS
About South Mississippi Heart And Vascular Institute Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SOUTH MISSISSIPPI HEART AND VASCULAR INSTITUTE PLLC (NPI 1255367736) is a healthcare organization registered as a specialist in Gulfport, Mississippi and active in the NPI registry since June 2006. The organization lists Mohammed I Awaad, Sole Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
South Mississippi Heart And Vascular Institute Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by January 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to South Mississippi Heart And Vascular Institute PLLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 South Mississippi Heart And Vascular Institute PLLC's NPI number?
The NPI number for South Mississippi Heart And Vascular Institute PLLC is 1255367736. It was assigned to this organization in the NPPES registry on June 25, 2006.
Where is South Mississippi Heart And Vascular Institute PLLC located?
South Mississippi Heart And Vascular Institute PLLC is located at 1104 Broad Ave, Gulfport, MS 39501. The listed phone number is (228) 343-4057.
What is South Mississippi Heart And Vascular Institute PLLC's specialty?
The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.
Is South Mississippi Heart And Vascular Institute PLLC enrolled in Medicare?
Yes. South Mississippi Heart And Vascular Institute PLLC is registered in the Medicare PECOS enrollment system.
When is South Mississippi Heart And Vascular Institute PLLC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Mississippi, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through South Mississippi Heart And Vascular Institute PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to South Mississippi Heart And Vascular Institute PLLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for South Mississippi Heart And Vascular Institute PLLC was last updated on October 2, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# South Mississippi Heart And Vascular Institute Pllc · NPI 1255367736
Specialist organization in Gulfport, Mississippi. Organization record, active in the CMS NPPES registry since June 25, 2006.
## Identity
- **NPI:** 1255367736 (Entity type: Organization)
- **Enumerated:** June 25, 2006
- **Primary specialty:** Specialist · taxonomy 174400000X
- **Organization subpart:** No
- **Authorized official:** Mohammed Awaad, SOLE OWNER
## Practice location
- **Address:** 1104 BROAD AVE, Gulfport, MS 39501-2414
- **Phone:** (228) 343-4057
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** January 31, 2027 (Non-DME Part B, Mississippi, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 1 clinician (Internal Medicine) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 2, 2012
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Source: [NPI Profile](https://npiprofile.com/npi/1255367736) · Data from the CMS NPPES public registry.