Mo Services LLC
Mo Services LLC is a healthcare organization registered as Adult Reconstructive Orthopaedic Surgery Physician in Gulfport, MS, holding Type 2 (organization) NPI 1124587829 since 2019. The authorized official on file is Robert Johansen, Ceo.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1124587829 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Mo Services LLC |
| Practice address | 15190 COMMUNITY RD., SUITE 120, Gulfport, MS, 39503 |
| Phone | 2283282400 |
| Fax | 2283284200 |
| Enumeration date | 2019-03-13 |
| Last updated in NPPES | 2019-03-13 |
Authorized official
| Name | Robert Johansen |
|---|---|
| Title | Ceo |
| Phone | 2283282400 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 207XS0114X | Adult Reconstructive Orthopaedic Surgery Physician | Primary | — | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04232510 | Medicaid | MS | — |
Copy-ready billing details
Provider: Mo Services LLC NPI: 1124587829 Taxonomy: 207XS0114X (Adult Reconstructive Orthopaedic Surgery Physician) Address: 15190 COMMUNITY RD., SUITE 120, Gulfport, MS, 39503
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1639177447 | Joseph Cottone | Individual | Specialist | Gulfport, MS |
| 1467446963 | Wendy Williams | Individual | Pediatrics Physician | Gulfport, MS |
| 1619919917 | Southern Urology Associates LLC | Organization | Urology Physician | Gulfport, MS |
| 1821033796 | Gulfport Anesthesia Services, P.A. | Organization | Specialist | Gulfport, MS |
| 1649206392 | Vincent Pisciotta | Individual | Specialist | Gulfport, MS |
| 1265468540 | Code, LLC | Organization | Durable Medical Equipment & Medical Supplies | Gulfport, MS |
| 1972530335 | John Douglas | Individual | Sleep Medicine (Internal Medicine) Physician | Gulfport, MS |
| 1952330417 | Clay Bratton | Individual | Specialist | Gulfport, MS |
Verify this record
Cross-check NPI 1124587829 against the authoritative CMS record: view Mo Services LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What type of organization is Mo Services LLC?
What is a Type 2 NPI?
Source: CMS NPPES (public data). Snapshot 2026-07-10. Provider record last updated 2019-03-13.