Organization Active NPI

Neuroscience Institute of the Gulf Coast PLLC

  • Sleep Medicine (Psychiatry & Neurology) Physician
  • Gulfport, MS
National Provider Identifier
1316010598
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084S0012X
Legal business name
NEUROSCIENCE INSTITUTE OF THE GULF COAST PLLC
Practice address
1110 Broad Ave Ste 600
Gulfport, MS 39501-8908
Phone
(228) 868-5493
Fax
(228) 868-9930
NPI assigned
Nov 16, 2006
Last updated
Aug 22, 2020By the provider in NPPES
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
Mrs. Debra A Study
Title
Office Manager
Phone
(228) 868-5493

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Medicine (Psychiatry & Neurology) Physician 2084S0012X NU Primary

Addresses

Primary practice location

1110 Broad Ave Ste 600
Gulfport, MS 39501-8908

Mailing address

1110 Broad Ave Ste 600
Gulfport, MS 39501-8908
Phone (228) 868-5493

National Provider Directory

National Provider Directory

Locations

10051 Lorraine Rd
#B
Gulfport, MS 39503
Phone (228) 604-4546

1110 Broad Ave
Ste 600
Gulfport, MS 39501
Phone (228) 220-1588

57 Dewey St
Lucedale, MS 39452
Phone (601) 766-0308

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1316010598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 BROAD AVE STE 600",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395018908",
            "telephone_number": "228-868-5493",
            "fax_number": "228-868-9930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 BROAD AVE STE 600",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395018908",
            "telephone_number": "228-868-5493",
            "fax_number": "228-868-9930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROSCIENCE INSTITUTE OF THE GULF COAST PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STUDY",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "228-868-5493",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "2084S0012X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Sleep Medicine",
            "state": "NU",
            "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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.