Organization Active NPI

Gulf Coast Endocrinology

  • Endocrinology, Diabetes & Metabolism Physician
  • Gulfport, MS
National Provider Identifier
1043434566
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
Legal business name
GULF COAST ENDOCRINOLOGY
Practice address
4540 W Railroad St
Gulfport, MS 39501-2480
Phone
(228) 867-6062
Fax
(228) 867-2598
NPI assigned
Apr 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Beverly Lansden, M.D.NPI 1588617997
Title
Owner
Phone
(228) 867-6062

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RE0101X MS Primary

Addresses

Primary practice location

4540 W Railroad St
Gulfport, MS 39501-2480

Mailing address

4540 W Railroad St
Gulfport, MS 39501-2480
Phone (228) 867-6062

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
25D0718852MPC Gulf Coast Endocrinology4540 W Railroad St, Gulfport, MS 39501Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1043434566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4540 W RAILROAD ST",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395012480",
            "telephone_number": "228-867-6062",
            "fax_number": "228-867-2598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4540 W RAILROAD ST",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395012480",
            "telephone_number": "228-867-6062",
            "fax_number": "228-867-2598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GULF COAST ENDOCRINOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LANSDEN",
        "authorized_official_first_name": "BEVERLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "228-867-6062",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "MS",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gulfport, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.