ASA LLC
NPI 1558897744
Clinic/Center - Multi-Specialty in Gulfport, MS

Q: What is Asa LLC's NPI number?

The NPI number for Asa LLC is 1558897744. It was assigned to this organization in the NPPES registry on May 7, 2017.

Q: What is Asa LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Q: When was this NPI record last updated?

The NPPES record for Asa LLC was last updated on May 7, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since May 07, 2017

1924 30TH AVE, GULFPORT, MS 39501(228) 343-3044(228) 206-4523 Get Directions Write a Review

NPPES record last updated: May 7, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Asa Llc NPPES

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

ASA LLC (NPI 1558897744) is a healthcare organization registered as a multi-specialty in Gulfport, Mississippi and active in the NPI registry since May 2017. The organization lists Robert Lee Gillum, Surgical Assistant, as its authorized official.

NPPES Registry Identity

NPI1558897744

Entity TypeOrganization

Primary Taxonomy261QM1300X

Legal Business NameASA LLC

Location Address1924 30TH AVEGulfport, MS 39501-4534

Mailing Address1924 30th AveGulfport, MS 39501-4534 · (228) 343-3044 · Fax (228) 206-4523

Phone(228) 343-3044

Fax(228) 206-4523

Organization SubpartNo

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

Enumeration DateMay 7, 2017

✔ NPI 1558897744 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities

Taxonomy Code261QM1300X

1924 30TH AVE, Gulfport, MS 39501

Open in Google Maps ↗

Other Providers at the Same Location NPPES 2

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

CANDACE WORSHAM D.O.

Family Medicine

1924 30TH AVE
GULFPORT, MS 39501

Harrison County (228) 863-7117

GARDEN PARK PHYSICIAN SERVICES CORP

Family Medicine

1924 30TH AVE
GULFPORT, MS 39501

Harrison County (228) 832-2004

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 Asa LLC's NPI number?

The NPI number for Asa LLC is 1558897744. It was assigned to this organization in the NPPES registry on May 7, 2017.

Where is Asa LLC located?

Asa LLC is located at 1924 30th Ave, Gulfport, MS 39501. The listed phone number is (228) 343-3044.

What is Asa LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

When was this NPI record last updated?

The NPPES record for Asa LLC was last updated on May 7, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.