ADVANCED SURGICAL ASSISTANTS LLC
NPI 1487027504
Physician Assistant - Surgical in Gulfport, MS

Q: What is Advanced Surgical Assistants LLC's NPI number?

The NPI number for Advanced Surgical Assistants LLC is 1487027504. It was assigned to this organization in the NPPES registry on November 11, 2015.

Q: What is Advanced Surgical Assistants LLC's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Active since November 11, 2015

1924 30TH AVE STE A, GULFPORT, MS 39501(228) 206-7634(228) 206-4523 Get Directions Write a Review

NPPES record last updated: November 11, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Advanced Surgical Assistants Llc NPPES

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

ADVANCED SURGICAL ASSISTANTS LLC (NPI 1487027504) is a healthcare organization registered as a surgical in Gulfport, Mississippi and active in the NPI registry since November 2015. The organization lists Robert Lee Gillum, Surgical First Assistant, as its authorized official.

NPPES Registry Identity

NPI1487027504

Entity TypeOrganization

Primary Taxonomy363AS0400X

Legal Business NameADVANCED SURGICAL ASSISTANTS LLC

Location Address1924 30TH AVE STE AGulfport, MS 39501-4534

Mailing Address1924 30th Ave Ste AGulfport, MS 39501-4534 · (228) 206-7634 · Fax (228) 206-4523

Phone(228) 206-7634

Fax(228) 206-4523

Organization SubpartNo

Authorized OfficialRobert Lee GillumSurgical First Assistant · (228) 343-3044

Enumeration DateNovember 11, 2015

✔ NPI 1487027504 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

1924 30TH AVE STE A, Gulfport, MS 39501

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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

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 Advanced Surgical Assistants LLC's NPI number?

The NPI number for Advanced Surgical Assistants LLC is 1487027504. It was assigned to this organization in the NPPES registry on November 11, 2015.

Where is Advanced Surgical Assistants LLC located?

Advanced Surgical Assistants LLC is located at 1924 30th Ave Ste A, Gulfport, MS 39501. The listed phone number is (228) 206-7634.

What is Advanced Surgical Assistants LLC's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

When was this NPI record last updated?

The NPPES record for Advanced Surgical Assistants LLC was last updated on November 11, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.