Mississippi Cardiovascular Center of Excellence, LLC
NPI 1205561099 · Cardiovascular Disease Physician · Gautier, MS
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mississippi Cardiovascular Center of Excellence, LLC is a Cardiovascular Disease Physician organization in Gautier, MS (NPI 1205561099).
Provider details
- NPI number
- 1205561099
- Entity type
- Organization
- Primary specialty
- Cardiovascular Disease PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jeff Doyle, Director of Communication(210) 621-5621
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 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
Mailing address
Registry dates
- Enumerated
- 2022-07-18
- Last updated
- 2022-08-05
- Certified
- 2022-08-05
Frequently asked questions
- What is Mississippi Cardiovascular Center of Excellence, LLC's NPI number?
- Mississippi Cardiovascular Center of Excellence, LLC's National Provider Identifier (NPI) is 1205561099, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mississippi Cardiovascular Center of Excellence, LLC?
- Mississippi Cardiovascular Center of Excellence, LLC is classified in the NPPES registry as Cardiovascular Disease Physician (Allopathic & Osteopathic Physicians).
- Where is Mississippi Cardiovascular Center of Excellence, LLC located?
- Mississippi Cardiovascular Center of Excellence, LLC's practice location on file with NPPES is 2012 Highway 90 Ste 2, Gautier, MS 39553-5305.
- What is Mississippi Cardiovascular Center of Excellence, LLC's phone number?
- The practice phone number listed in the NPPES registry for Mississippi Cardiovascular Center of Excellence, LLC is (228) 300-3007.
- Does Mississippi Cardiovascular Center of Excellence, LLC accept Medicare?
- Mississippi Cardiovascular Center of Excellence, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Mississippi Cardiovascular Center of Excellence, LLC?
- The authorized official listed on Mississippi Cardiovascular Center of Excellence, LLC's NPPES record is Jeff Doyle, Director of Communication. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mississippi Cardiovascular Center of Excellence, LLC's NPI active?
- Yes — Mississippi Cardiovascular Center of Excellence, LLC's NPI (1205561099) is active in the NPPES registry as of the last update on 2022-08-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.