Organization Active NPI

Gulf Coast Spinal & Neurosurgical Specialists

  • Ambulatory Surgical Clinic/Center
  • Gulfport, MS
National Provider Identifier
1053699488
Registry record updated Aug 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
GULF COAST SPINAL & NEUROSURGICAL SPECIALISTS
Practice address
1340 Broad Ave
Suite 440
Gulfport, MS 39501-2404
Phone
(228) 822-2117
NPI assigned
Aug 3, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2011

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

Authorized official

Name
Barry Monday
Title
Billing Admin
Phone
(601) 296-2552

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

1340 Broad Ave
Suite 440
Gulfport, MS 39501-2404

Mailing address

PO Box 17708
Hattiesburg, MS 39404-7708
Phone (601) 296-2552

National Provider Directory

National Provider Directory

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1312329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312329600000",
    "number": "1053699488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 17708",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394047708",
            "telephone_number": "601-296-2552",
            "fax_number": "601-296-2397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1340 BROAD AVE",
            "address_2": "SUITE 440",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395012404",
            "telephone_number": "228-822-2117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GULF COAST SPINAL & NEUROSURGICAL SPECIALISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-03",
        "last_updated": "2011-08-03",
        "status": "A",
        "authorized_official_last_name": "MONDAY",
        "authorized_official_first_name": "BARRY",
        "authorized_official_title_or_position": "BILLING ADMIN",
        "authorized_official_telephone_number": "601-296-2552"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "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 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.