MCCOMB UROLOGY CLINIC, P.A.
NPI 1073600409
Specialist in Mccomb, MS

Active since October 06, 2006
300 RAWLS DR STE 1000, MCCOMB, MS 39648(601) 684-1261(601) 684-3649 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mccomb Urology Clinic, P.a. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MCCOMB UROLOGY CLINIC, P.A. (NPI 1073600409) is a healthcare organization registered as a specialist in Mccomb, Mississippi and active in the NPI registry since October 2006. The organization lists Jose Benjamin Simo, President, as its authorized official.

NPPES Registry Identity

NPI1073600409
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameMCCOMB UROLOGY CLINIC, P.A.
Location Address300 RAWLS DR STE 1000Mccomb, MS 39648-2861
Mailing Address300 Rawls Dr Ste 1000Mccomb, MS 39648-2861 · (601) 684-1261 · Fax (601) 684-3649
Fax(601) 684-3649
Organization SubpartNo
Authorized OfficialJose Benjamin SimoPresident · (601) 684-1261
Enumeration DateOctober 6, 2006
Last NPPES UpdateJuly 21, 2022
NPI 1073600409 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in MS · 7944
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
300 RAWLS DR STE 1000, Mccomb, MS 39648

Other Identifiers 1

Medicaid00016344MS

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mccomb Urology Clinic, P.A.'s NPI number?

The NPI number for Mccomb Urology Clinic, P.A. is 1073600409. It was assigned to this organization in the NPPES registry on October 6, 2006.

Where is Mccomb Urology Clinic, P.A. located?

Mccomb Urology Clinic, P.A. is located at 300 Rawls Dr Ste 1000, Mccomb, MS 39648. The listed phone number is (601) 684-1261.

What is Mccomb Urology Clinic, P.A.'s specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Mccomb Urology Clinic, P.A. was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.