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GULFPORT OBGYN CLINIC, LLC
NPI 1902635071
Clinic/Center in Gulfport, MS

Active since July 29, 2024
4502 OLD PASS RD, GULFPORT, MS 39501(228) 863-9977(228) 863-9912 Get Directions Write a Review

NPPES record last updated: July 30, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Gulfport Obgyn Clinic, Llc NPPES

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

GULFPORT OBGYN CLINIC, LLC (NPI 1902635071) is a healthcare organization registered as a clinic/center in Gulfport, Mississippi and active in the NPI registry since July 2024. The organization lists Sydney Gruich, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1902635071
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameGULFPORT OBGYN CLINIC, LLC
Location Address4502 OLD PASS RDGulfport, MS 39501-2585
Mailing Address4502 Old Pass RdGulfport, MS 39501-2585 · (228) 863-9977 · Fax (228) 863-9912
Phone(228) 863-9977
Fax(228) 863-9912
Organization SubpartNo
Authorized OfficialSydney GruichOffice Manager · (228) 863-9977
Enumeration DateJuly 29, 2024
Last NPPES UpdateJuly 30, 2024
NPPES CertifiedJuly 30, 2024
✔ NPI 1902635071 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
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).
4502 OLD PASS RD, Gulfport, MS 39501
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Other Providers at the Same Location NPPES 14

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

ALYSE HUSSEY NP-C
Nurse Practitioner
4502 OLD PASS RD
GULFPORT, MS 39501
Harrison County (228) 863-9977
MISS KIMBERLY M WILLIAMS CNM
Advanced Practice Midwife
4502 OLD PASS RD
GULFPORT, MS 39501
Harrison County (228) 863-9977
DR. MICHELE Q PISCIOTTA PHYSICIAN
Obstetrics & Gynecology
4502 OLD PASS RD
GULFPORT, MS 39501
Harrison County (228) 863-9977
ISABELLE JANVIER LAURIN WHNP-BC
Nurse Practitioner (Women's Health)
4502 OLD PASS RD
GULFPORT, MS 39501
Harrison County (228) 822-6898
GULFPORT OBSTETRICAL & GYNECOLOGICAL CLINIC, PA
Obstetrics & Gynecology
4502 OLD PASS RD
GULFPORT, MS 39501
Harrison County (228) 863-9977
GENERATIONS OBSTETRICAL AND GYNECOLOGICAL CLINIC OF THE GULF COAST, LL
Obstetrics & Gynecology
4502 OLD PASS RD
GULFPORT, MS 39501
Harrison County (228) 861-7503
GULFPORT OBSTETRICAL & GYNECOLOGICAL CLINIC, PA
Case Management
4502 OLD PASS RD
GULFPORT, MS 39501
Harrison County (228) 863-9977
TAYLOR BERTRAND CHAPIN MD
Obstetrics & Gynecology (Obstetrics)
4502 OLD PASS RD
GULFPORT, MS 39501
Harrison County (228) 229-8995

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 Obgyn Clinic, LLC's NPI number?

The NPI number for Gulfport Obgyn Clinic, LLC is 1902635071. It was assigned to this organization in the NPPES registry on July 29, 2024.

Where is Gulfport Obgyn Clinic, LLC located?

Gulfport Obgyn Clinic, LLC is located at 4502 Old Pass Rd, Gulfport, MS 39501. The listed phone number is (228) 863-9977.

What is Gulfport Obgyn Clinic, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Gulfport Obgyn Clinic, LLC was last updated on July 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.