OrganizationActive
Gulfport Outpatient Surgery Center
NPI 1750390811 · Ambulatory Surgical Clinic/Center · Gulfport, MS
Provider details
- NPI number
- 1750390811
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- William Peaks, Ceo(228) 575-7007
- License
- 003 (MS)
Specialties & taxonomies
Ambulatory Health Care Facilities
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
1240 Broad Ave
Gulfport, MS 39501-2405
Phone: (228) 868-1120
Fax: (228) 864-0265
Street-level locationGet directions
Mailing address
Po Box 877
Gulfport, MS 39501
Other names (DBA / former)
- Doing business as
- Gosc Lp
Registry dates
- Enumerated
- 2006-08-07
- 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.