OrganizationActive
Gulf South Surgery Center LLC
NPI 1154360501 · Ambulatory Surgical Clinic/Center · Gulfport, MS
Provider details
- NPI number
- 1154360501
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jason Smith, Administrator(228) 818-0563
- License
- 002 (MS)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
1206 31st Ave
Gulfport, MS 39501-1804
Phone: (228) 864-0008
Approximate (ZIP-level) locationGet directions
Mailing address
1206 31st Ave
Gulfport, MS 39501-1804
Registry dates
- Enumerated
- 2006-06-04
- Last updated
- 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.