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Organization

Southern Prosthetic Care LLC

NPI Record: ActiveProsthetic/Orthotic Supplier
NPI1063050862
Gulfport, Mississippi

Provider's NPPES record last updated: February 10, 2026

Overview

Entity Type
Organization
NPI
1063050862
Primary Specialty
Prosthetic/Orthotic Supplier
Practice Location
Gulfport, Mississippi
Organization Subpart
No

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 18, 2026, 6:46 PM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Prosthetic/Orthotic Supplier

    Suppliers

    Primary

    An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.

    Taxonomy code 335E00000X

Practice Locations

Practice Location

4410 W Railroad St

Gulfport, Mississippi 39501

Phone: (228) 265-7847

Additional Practice Location

1308 44th Ave

Gulfport, Mississippi 39501-2552

Phone: (228) 265-7847

Fax: (228) 265-7876

Additional Practice Location

4201 Highway 11 N Ste D

Picayune, Mississippi 39466-2014

Phone: (769) 242-2555

Fax: (769) 242-2556

Record Information

Enumeration Date
December 12, 2019
Provider's NPPES Record Last Updated
February 10, 2026
Certification Date
February 10, 2026
NPISignal NPPES Dataset
August 2026

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