GULF COAST CHILDREN'S CLINIC, PA
NPI 1750571170
Clinic/Center in Ocean Springs, MS

NPI Status: Active since August 01, 2007

Contact Information

3650 GROVELAND RD
OCEAN SPRINGS, MS
ZIP 39564
Phone: (228) 875-0780
Fax: (228) 875-1009

NPI Profile Information
Primary Taxonomy
Insurance Plans Accepted
Authorized Official
CLIA Information
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Organization
Clinic/Center
Accepts Insurance
CLIA Number: 25D0968260
CLIA Cert. Type: Physician Office
CLIA Exp. Date: 07-04-2026

About GULF COAST CHILDREN'S CLINIC, PA

This page provides the complete NPI Profile along with additional information for Gulf Coast Children's Clinic, Pa, a provider established in Ocean Springs, Mississippi operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1750571170 assigned on August 2007. The practitioner's primary taxonomy code is 261Q00000X. The provider is registered as an organization and their NPI record was last updated 11 years ago. The authorized official of this NPI record is Obaid A Siddiqui M.d. (President)

NPI: 1750571170
Provider Name: GULF COAST CHILDREN'S CLINIC, PA
Entity Type: Organization
Location Address: 3650 GROVELAND RD OCEAN SPRINGS, MS 39564
Location Phone: (228) 875-0780
Location Fax: (228) 875-1009
Mailing Address: 3650 GROVELAND RD OCEAN SPRINGS, MS 39564
Mailing Phone: (228) 875-0780
Mailing Fax: (228) 875-1009
Is Sole Proprietor?: No
Is Organization Subpart?: No
Enumeration Date: 08-01-2007
Last Update Date: 09-04-2014
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Clinic/Center
Taxonomy Code: 261Q00000X
Type: Ambulatory Health Care Facilities
Taxonomy Description: A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Ambetter from Arkansas Health & Wellness

Choice Bronze HSA (QualChoice) - POS
Complete Gold - PPO
Complete Gold + Vision + Adult Dental - PPO
Complete Silver (QualChoice) - POS
Connected Silver - PPO
Connected Silver (QualChoice) - POS
Connected Silver (QualChoiceLife) - PPO
Connected Silver + Vision + Adult Dental - PPO
Elite Bronze - PPO
Elite Bronze + Vision + Adult Dental - PPO

Ambetter from Louisiana Healthcare Connections

Complete Gold - EPO
Complete Gold + Vision + Adult Dental - EPO
Elite Bronze - EPO
Elite Bronze + Vision + Adult Dental - EPO
Elite Gold - EPO
Elite Gold + Vision + Adult Dental - EPO
Elite Silver - EPO
Elite Silver + Vision + Adult Dental - EPO
Everyday Bronze - EPO
Everyday Bronze + Vision + Adult Dental - EPO

Ambetter from Magnolia Health

Choice Bronze HSA - HMO
Choice Bronze HSA + Vision + Adult Dental - HMO
Complete Gold - HMO
Complete Gold + Vision + Adult Dental - HMO
Complete Silver - HMO
Complete Silver + Vision + Adult Dental - HMO
Everyday Bronze - HMO
Everyday Bronze + Vision + Adult Dental - HMO
Everyday Gold - HMO
Everyday Gold + Vision + Adult Dental - HMO

Ambetter of Alabama

Complete Gold - EPO
Complete Gold + Vision + Adult Dental - EPO
Elite Bronze - EPO
Elite Bronze + Vision + Adult Dental - EPO
Elite Gold - EPO
Elite Gold + Vision + Adult Dental - EPO
Elite Silver - EPO
Elite Silver + Vision + Adult Dental - EPO
Everyday Bronze - EPO
Everyday Bronze + Vision + Adult Dental - EPO

Ambetter of Tennessee

Clear Silver - EPO
Elite Bronze - EPO
Elite Bronze + Vision + Adult Dental - EPO
Elite Gold - EPO
Elite Gold + Vision + Adult Dental - EPO
Enhanced Diabetes Care Silver with $0 Drug Options - EPO
Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - EPO
Everyday Bronze - EPO
Everyday Bronze + Vision + Adult Dental - EPO
Everyday Gold - EPO

Cigna Healthcare

Connect Bronze 5500 Indiv Med Deductible Enhanced Diabetes Care - EPO
Connect Bronze 6500 Indiv Med Deductible - EPO
Connect Bronze 8500 Indiv Med Deductible - EPO
Connect Bronze CMS Standard - EPO
Connect Gold 2000 Indiv Med Deductible - EPO
Connect Gold CMS Standard - EPO
Connect Silver 3800 Indiv Med Deductible Enhanced Diabetes Care - EPO
Connect Silver 4000 Indiv Med Deductible - EPO
Connect Silver 6500 Indiv Med Deductible - EPO
Connect Silver CMS Standard - EPO

Molina Healthcare

Bronze 4 - HMO
Bronze 8 - HMO
Gold 1 - HMO
Gold 1 with Adult Vision Services - HMO
Gold 8 - HMO
Silver 1 - HMO
Silver 1 with Adult Vision Services - HMO
Silver 12 with First 4 Primary Care Visits Free - HMO
Silver 8 - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name: OBAID A SIDDIQUI M.D.
Authorized Official Title: PRESIDENT
Authorized Official Phone: (228) 875-0780

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number: 25D0968260
Facility Type: Physician Office
Certificate Effective Date: July 05, 2024
Certificate Expiration Date: July 04, 2026
Laboratory Director: OBAID A. SIDDIQUI
Certificate Type: Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description: This CLIA certificate is issued to Gulf Coast Children's Clinic, Pa in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.

NPI Validation Check Digit Calculation

The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1	7	5	0	5	7	1	1	7	0
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	7	10	0	10	7	2	1	14
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 0 + 0 + 1 + 0 + 7 + 2 + 1 + 1 + 4 + 24 = 50
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
									0

The NPI number 1750571170 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.