GULF COAST PLASTIC & RECONSTRUCTIVE SURGERY, PLLC
NPI 1336259100
Surgery - Plastic and Reconstructive Surgery in Ocean Springs, MS

Active since August 30, 2006
4509 GIBSON RD, OCEAN SPRINGS, MS 39564(228) 872-3993(228) 872-3992 Get Directions Write a Review

NPPES record last updated: June 10, 2014. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Gulf Coast Plastic & Reconstructive Surgery, Pllc NPPES

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

GULF COAST PLASTIC & RECONSTRUCTIVE SURGERY, PLLC (NPI 1336259100) is a healthcare organization registered as a plastic and reconstructive surgery in Ocean Springs, Mississippi and active in the NPI registry since August 2006. The organization lists Jimmie G Richmond, Billing, as its authorized official.

NPPES Registry Identity

NPI1336259100
Entity TypeOrganization
Primary Taxonomy2086S0122X
Legal Business NameGULF COAST PLASTIC & RECONSTRUCTIVE SURGERY, PLLC
Location Address4509 GIBSON RDOcean Springs, MS 39564-6026
Mailing Address4509 Gibson RdOcean Springs, MS 39564-6026 · (228) 872-3993 · Fax (228) 872-3992
Fax(228) 872-3992
Organization SubpartNo
Authorized OfficialJimmie G RichmondBilling · (228) 872-3993
Enumeration DateAugust 30, 2006
Last NPPES UpdateJune 10, 2014
✔ NPI 1336259100 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0122X
Definition
A surgeon who specializes in plastic and reconstructive surgery.
4509 GIBSON RD, Ocean Springs, MS 39564

Other Identifiers 1

Medicare PIN302G706033MS

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

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)

Gulf Coast Plastic & Reconstructive Surgery, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by December 31, 2026

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.

StateEnrollment IDDue date
StateMississippiEnrollment IDO20100217000457Non-DME Part B · Clinic/Group PracticeDue dateDecember 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Gulf Coast Plastic & Reconstructive Surgery, PLLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Nurse Practitioner
NPI 1316963911
4509 GIBSON ROAD
Ocean Springs, MS 39564
(228) 892-3993
✔ PECOS✔ Accepts MedicareSame address
Plastic and Reconstructive Surgery
NPI 1477568749
4509 GIBSON RD
Ocean Springs, MS 39564
(228) 872-3993
✔ PECOS✔ Accepts MedicareSame address

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 Gulf Coast Plastic & Reconstructive Surgery, PLLC's NPI number?

The NPI number for Gulf Coast Plastic & Reconstructive Surgery, PLLC is 1336259100. It was assigned to this organization in the NPPES registry on August 30, 2006.

Where is Gulf Coast Plastic & Reconstructive Surgery, PLLC located?

Gulf Coast Plastic & Reconstructive Surgery, PLLC is located at 4509 Gibson Rd, Ocean Springs, MS 39564. The listed phone number is (228) 872-3993.

What is Gulf Coast Plastic & Reconstructive Surgery, PLLC's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.

Is Gulf Coast Plastic & Reconstructive Surgery, PLLC enrolled in Medicare?

Yes. Gulf Coast Plastic & Reconstructive Surgery, PLLC is registered in the Medicare PECOS enrollment system.

When is Gulf Coast Plastic & Reconstructive Surgery, 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 December 31, 2026. 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 Gulf Coast Plastic & Reconstructive Surgery, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Gulf Coast Plastic & Reconstructive Surgery, PLLC, in Nurse Practitioner and Plastic and Reconstructive Surgery. 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, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Gulf Coast Plastic & Reconstructive Surgery, PLLC 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 Gulf Coast Plastic & Reconstructive Surgery, PLLC 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 Gulf Coast Plastic & Reconstructive Surgery, PLLC was last updated on June 10, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.