OrganizationActive
Gulf South Pediatric Cardiology, LLC
NPI 1073653903 · Specialist · Gulfport, MS
Gulf South Pediatric Cardiology, LLC is a Specialist organization in Gulfport, MS (NPI 1073653903).
Provider details
- NPI number
- 1073653903
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Lisa Goodwin, Practice Manager(228) 868-7046
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4500 13th St
611 Broad Avenue
Gulfport, MS 39501-2515
Phone: (228) 868-7046
Fax: (228) 575-2120
Street-level locationGet directions
Mailing address
4500 13th St
Gulfport, MS 39501-2515
Registry dates
- Enumerated
- 2007-02-08
- Last updated
- 2020-08-22
Frequently asked questions
- What is Gulf South Pediatric Cardiology, LLC's NPI number?
- Gulf South Pediatric Cardiology, LLC's National Provider Identifier (NPI) is 1073653903, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Gulf South Pediatric Cardiology, LLC?
- Gulf South Pediatric Cardiology, LLC is classified in the NPPES registry as Specialist (Other Service Providers).
- Where is Gulf South Pediatric Cardiology, LLC located?
- Gulf South Pediatric Cardiology, LLC's practice location on file with NPPES is 4500 13th St, Gulfport, MS 39501-2515.
- What is Gulf South Pediatric Cardiology, LLC's phone number?
- The practice phone number listed in the NPPES registry for Gulf South Pediatric Cardiology, LLC is (228) 868-7046.
- Who is the authorized official for Gulf South Pediatric Cardiology, LLC?
- The authorized official listed on Gulf South Pediatric Cardiology, LLC's NPPES record is Lisa Goodwin, Practice Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Gulf South Pediatric Cardiology, LLC's NPI active?
- Yes — Gulf South Pediatric Cardiology, LLC's NPI (1073653903) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.