GULFPORT SURGERY CLINIC
NPI 1740291145
Specialist in Gulfport, MS

Active since August 10, 2006
1312 44TH AVE, GULFPORT, MS 39501(228) 822-6160(228) 539-8327 Get Directions Write a Review

NPPES record last updated: June 11, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Gulfport Surgery Clinic NPPES

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

GULFPORT SURGERY CLINIC (NPI 1740291145) is a healthcare organization registered as a specialist in Gulfport, Mississippi and active in the NPI registry since August 2006. The organization lists Thomas Paul Mace, Owner, as its authorized official.

NPPES Registry Identity

NPI1740291145
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameGULFPORT SURGERY CLINIC
Location Address1312 44TH AVEGulfport, MS 39501-2552
Mailing Address1312 44th AveGulfport, MS 39501-2552 · (228) 822-6160 · Fax (228) 539-8327
Fax(228) 539-8327
Organization SubpartNo
Authorized OfficialThomas Paul MaceOwner · (228) 822-6160
Enumeration DateAugust 10, 2006
Last NPPES UpdateJune 11, 2020
NPPES CertifiedJune 11, 2020
NPI 1740291145 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in MS · 13995
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
1312 44TH AVE, Gulfport, MS 39501

Other Identifiers 1

Medicaid00383374MS

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 6

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

Surgery
1312 44TH AVE
GULFPORT, MS 39501
Specialist
1312 44TH AVE
GULFPORT, MS 39501
Surgery
1312 44TH AVE
GULFPORT, MS 39501
Specialist
1312 44TH AVE
GULFPORT, MS 39501
Nurse Practitioner
1312 44TH AVE
GULFPORT, MS 39501
Surgery
1312 44TH AVE
GULFPORT, MS 39501

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 Gulfport Surgery Clinic's NPI number?

The NPI number for Gulfport Surgery Clinic is 1740291145. It was assigned to this organization in the NPPES registry on August 10, 2006.

Where is Gulfport Surgery Clinic located?

Gulfport Surgery Clinic is located at 1312 44th Ave, Gulfport, MS 39501. The listed phone number is (228) 822-6160.

What is Gulfport Surgery Clinic's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Gulfport Surgery Clinic was last updated on June 11, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.