GULF COAST RECOVERY CLINIC
NPI 1922888148
Clinic/Center - Rehabilitation, Substance Use Disorder in Gulfport, MS

Active since October 04, 2023CLIA 25D2284657 · Waiver
14231 SEAWAY RD STE 2003, GULFPORT, MS 39503(228) 594-3377(228) 594-6688 Get Directions Write a Review

NPPES record last updated: October 4, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Gulf Coast Recovery Clinic NPPES

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

GULF COAST RECOVERY CLINIC (NPI 1922888148) is a healthcare organization registered as a rehabilitation, substance use disorder in Gulfport, Mississippi and active in the NPI registry since October 2023. The organization holds a CLIA Waiver certificate valid through June 26, 2027 and lists Betty Matthews, Manager, as its authorized official.

NPPES Registry Identity

NPI1922888148
Entity TypeOrganization
Primary Taxonomy261QR0405X
Legal Business NameGULF COAST RECOVERY CLINIC
Location Address14231 SEAWAY RD STE 2003Gulfport, MS 39503-4635
Mailing Address14231 Seaway Rd Ste 2003Gulfport, MS 39503-4635 · (228) 594-3377
Fax(228) 594-6688
Organization SubpartNo
Authorized OfficialBetty MatthewsManager · (228) 594-3377
Enumeration DateOctober 4, 2023
NPPES CertifiedOctober 4, 2023
NPI 1922888148 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Rehabilitation, Substance Use DisorderAmbulatory Health Care Facilities
Taxonomy Code261QR0405X
14231 SEAWAY RD STE 2003, Gulfport, MS 39503

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 25D2284657

Gulf Coast Recovery Clinic · Gulfport, MS
Active · expires Jun 26, 2027
CLIA Number25D2284657
Laboratory TypePractitioner Other
Certificate Effective DateJune 27, 2025
Certificate Expiration DateJune 26, 2027
Laboratory DirectorAvery Jackson
Laboratory Phone(228) 594-3377
Laboratory LocationGulf Coast Recovery Clinic14231 Seaway Rd, Ste 2003, Gulfport, MS 39503
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

Nurse Practitioner (Family)
14231 SEAWAY RD STE 2003
GULFPORT, MS 39503

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 Gulf Coast Recovery Clinic's NPI number?

The NPI number for Gulf Coast Recovery Clinic is 1922888148. It was assigned to this organization in the NPPES registry on October 4, 2023.

Where is Gulf Coast Recovery Clinic located?

Gulf Coast Recovery Clinic is located at 14231 Seaway Rd Ste 2003, Gulfport, MS 39503. The listed phone number is (228) 594-3377.

What is Gulf Coast Recovery Clinic's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.

Does Gulf Coast Recovery Clinic hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 25D2284657) is associated with this NPI, valid through June 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Gulf Coast Recovery Clinic accept?

Health plans from Molina Healthcare list Gulf Coast Recovery Clinic as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Gulf Coast Recovery Clinic was last updated on October 4, 2023. 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.