GULF COAST OB/GYN PA NPI 1326016106

NPI Information

  • NPI: 1326016106
  • Provider Name: GULF COAST OB/GYN, PA
  • Classification: Obstetrics & Gynecology - 207V00000X
  • Entity Type: Organization
  • CLIA Number: 25D0319886
  • Address: 4507 HOSPITAL ST
    PASCAGOULA, MS
    ZIP 39581
  • Phone: (228) 769-1940

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NPI Details

GULF COAST OB/GYN, PA is an obstetrics gynecology in Pascagoula, MS. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. GULF COAST OB/GYN, PA NPI is 1326016106. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4507 HOSPITAL ST
PASCAGOULA, MS
ZIP 39581-336
Phone: (228) 769-1940
Fax: (228) 769-9231

The provider's authorized official is Becky Butler .
The authorized official title is Asst Office Manager and has the following contact phone number (228) 769-1940.

The CLIA number assigned to this NPI record is 25D0319886 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 3/9/2006 and was last updated on 7/21/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207V00000XObstetrics & GynecologyMISSISSIPPIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
109014392MEDICAIDMISSISSIPPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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