Active NPI
Gastroenterology Care Specialists, LLC
- Gastroenterology Physician
- Crestview, FL
National Provider Identifier
1750922399
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- Legal business name
- GASTROENTEROLOGY CARE SPECIALISTS, LLC
- Practice address
- 150 E Redstone Ave Ste B
Crestview, FL 32539-5343 - Phone
- (850) 398-8605
- Fax
- (850) 398-8470
- NPI assigned
- Oct 4, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Khalid Moussa, MD
- Title
- Dr
- Phone
- (225) 405-5441
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | Primary |
Addresses
Primary practice location
150 E Redstone Ave Ste B
Crestview, FL 32539-5343
Mailing address
PO Box 30119
Pensacola, FL 32503-1119
Phone (850) 398-8605
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
550 Redstone Ave W
Ste 430
Crestview, FL 32536
Phone (850) 398-8605
150 E Redstone Ave
Ste B
Crestview, FL 32539
Phone (850) 398-8605
Interoperability endpoints
- https://api.platform.athenahealth.com/20458/brand/1/csg/1/fhir/r4
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": "1570147200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1767571200000",
"number": "1750922399",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 30119",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325031119",
"telephone_number": "850-398-8605",
"fax_number": "850-398-8470"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 E REDSTONE AVE STE B",
"city": "CRESTVIEW",
"state": "FL",
"postal_code": "325395343",
"telephone_number": "850-398-8605",
"fax_number": "850-398-8470"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GASTROENTEROLOGY CARE SPECIALISTS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-10-04",
"last_updated": "2026-01-05",
"certification_date": "2026-01-05",
"status": "A",
"authorized_official_last_name": "MOUSSA",
"authorized_official_first_name": "KHALID",
"authorized_official_title_or_position": "DR",
"authorized_official_telephone_number": "225-405-5441",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Gastroenterology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Crestview, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.