SERGIO G GONZALEZ MD
NPI 1366443210
General Practice in Laurel, MS

Active since August 02, 2005
119 S 12TH AVE, LAUREL, MS 39440(601) 649-5842(601) 649-0726 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Sergio G Gonzalez Md NPPES

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

SERGIO G GONZALEZ MD (NPI 1366443210) is an individual general practice provider in Laurel, Mississippi, licensed in Mississippi (06914) and active in the NPI registry since August 2005.

NPPES Registry Identity

NPI1366443210
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameSERGIO G GONZALEZCredential: MD
Location Address119 S 12TH AVELaurel, MS 39440-4322
Mailing Address119 S 12th AveLaurel, MS 39440-4322 · (601) 649-5842 · Fax (601) 649-0726
Fax(601) 649-0726
Sole ProprietorNo
Enumeration DateAugust 2, 2005
Last NPPES UpdateSeptember 11, 2025
NPI 1366443210 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License Licensed in MS · 06914
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedPathology · DermatopathologyTaxonomy 207ZD0900X · License 06914 (MS)
119 S 12TH AVE, Laurel, MS 39440

Other Providers at the Same Location NPPES 20

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

Counselor
119 S 12TH AVE
LAUREL, MS 39440
Counselor (Mental Health)
119 S 12TH AVE
LAUREL, MS 39440
Counselor (Mental Health)
119 S 12TH AVE
LAUREL, MS 39440
Case Manager/Care Coordinator
119 S 12TH AVE
LAUREL, MS 39440
Social Worker
119 S 12TH AVE
LAUREL, MS 39440
Counselor
119 S 12TH AVE
LAUREL, MS 39440
Counselor
119 S 12TH AVE
LAUREL, MS 39440
Counselor
119 S 12TH AVE
LAUREL, MS 39440

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 Sergio Gonzalez's NPI number?

The NPI number for Sergio Gonzalez is 1366443210. It was assigned to this individual provider in the NPPES registry on August 2, 2005.

Where is Sergio Gonzalez located?

Sergio Gonzalez practices at 119 S 12th Ave, Laurel, MS 39440. The listed phone number is (601) 649-5842.

What is Sergio Gonzalez's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Sergio Gonzalez was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.