Organization Active NPI

GS Medical LLC

  • Durable Medical Equipment & Medical Supplies
  • Gulfport, MS
National Provider Identifier
1255357539
Registry record updated Aug 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
8714 Issued in MS
Legal business name
GS MEDICAL LLC
Practice address
10480 Corporate Dr Ste 1C
Gulfport, MS 39503-4649
Phone
(228) 897-2616
Fax
(228) 897-2616
NPI assigned
Jul 13, 2006
Last updated
Aug 12, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2008

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

Authorized official

Name
Mr. Gary Sullivan
Title
President
Phone
(228) 897-2616

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 8714 MS Primary

Addresses

Primary practice location

10480 Corporate Dr Ste 1C
Gulfport, MS 39503-4649

Mailing address

10480 Corporate Dr Ste 1C
Gulfport, MS 39503-4649
Phone (228) 897-2616

National Provider Directory

National Provider Directory

Locations

10480 Corporate Dr
Ste 1C
Gulfport, MS 39503
Phone (228) 897-2616

NPI Registry JSON

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218499200000",
    "number": "1255357539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10480 CORPORATE DR STE 1C",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395034649",
            "telephone_number": "228-897-2616",
            "fax_number": "228-897-2616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10480 CORPORATE DR STE 1C",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395034649",
            "telephone_number": "228-897-2616",
            "fax_number": "228-897-2616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GS MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-13",
        "last_updated": "2008-08-12",
        "status": "A",
        "authorized_official_last_name": "SULLIVAN",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "228-897-2616",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MS",
            "license": "8714",
            "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 12, 2008; 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.