Popps Ferry Out-Patient Surgery Center, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

POPPS FERRY OUT-PATIENT SURGERY CENTER, LLC

Practice address

431 Bertucci Blvd
Biloxi, MS 39531-2255

Phone

(228) 385-2020

Fax

(228) 388-9435

NPI assigned

Nov 23, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Gregory E Bertucci, MD

Title

Owner

Phone

(228) 385-2020

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

Ambulatory surgical center certification: CCN 25C0001075

Legal name

Popp's Ferry Out-Patient Surgery Center, LLC

Certification status

Active

Provider type (POS)

Ambulatory surgical center

Participating since

May 28, 2010

Last certification

May 28, 2010

Ownership / control type

Proprietary

Facility address

431 Bertucci Blvd
Biloxi, MS 39531

Practitioners 3

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

• Philip L Bertucci, MD

  • Ophthalmology Physician
  • Gulfport, MS
  • NPI 1194793299
  NPD (past)
• Cameron S Griffith, MD

  • Ophthalmology Physician
  • Biloxi, MS
  • NPI 1518097815
  NPD (past)
• Edward Langlow, MD

  • Ophthalmology Physician
  • Mandeville, LA
  • NPI 1407853401
  NPD (past)

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

{
    "created_epoch": "1258934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753747200000",
    "number": "1053649558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "431 BERTUCCI BLVD",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "395312255",
            "telephone_number": "228-385-2020",
            "fax_number": "228-388-9435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "431 BERTUCCI BLVD",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "395312255",
            "telephone_number": "228-385-2020",
            "fax_number": "228-388-9435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POPPS FERRY OUT-PATIENT SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-23",
        "last_updated": "2025-07-29",
        "certification_date": "2025-07-29",
        "status": "A",
        "authorized_official_last_name": "BERTUCCI",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "228-385-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QS0132X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ophthalmologic Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Polk'S Crossgates Discount Drugs Inc.
• Roland William Pomfret, MD
• Sherrie C Pomierski, LPC, NBCC, NBSC, MS
• Elizabeth Ann Pond, EXECUTIVE DIRECTOR
• Pontchartrain Anesthesia, LLC
• Megan Porostovsky
• Tonja S Porter
• Lisa Victoria Powell
• Heather Elizabeth Powers, LICSW
• Practitioner Psychiatric Services

• Ambulatory Surgical Clinic/Center in Biloxi, MS
• Providers in Biloxi, MS by specialty
• Ambulatory Surgical Clinic/Center in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.