Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Advanced Surgical Assistants LLC

Organization Surgical Physician Assistant · NPI 1487027504

Advanced Surgical Assistants LLC provides Surgical Physician Assistant services in Gulfport, Mississippi. Licensed in Mississippi. Registered with an NPI since 2015.

Licensed in
MS
In the registry since
2015
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1924 30th Ave Ste A
Gulfport, MS 39501-4534 Not confirmed with CMS for 10 years — call before visiting
Phone: (228) 206-7634
Fax: (228) 206-4523
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X (MS)

Record details

NPI number1487027504
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Robert Gillum — Surgical First Assistant · (228) 343-3044
NPI enumeratedNovember 11, 2015
Last updated in NPPESNovember 11, 2015
Mailing address1924 30th Ave Ste A, Gulfport, MS 39501-4534

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