Advanced Surgical Assistants LLC
NPI 1487027504ActiveOrganization· Physician Assistant, Surgical· Gulfport, MS
Physician Assistant, Surgical in Gulfport, Mississippi, registered in NPPES in November 2015. The authorized official on file is Robert Lee Gillum, SFA, Surgical First Assistant.
Overview
| NPI | 1487027504 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 11, 2015 |
| Last updated in NPPES | Nov 11, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant, Surgical Primary | 363AS0400X | — | MS |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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