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UROLOGY GROUP PC
NPI 1093973836
Urology in Southaven, MS

Active since May 29, 2008
401 SOUTHCREST CIR, SUITE 201, SOUTHAVEN, MS 38671(662) 349-4329 Get Directions Write a Review

NPPES record last updated: August 29, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Urology Group Pc NPPES

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

UROLOGY GROUP PC (NPI 1093973836) is a healthcare organization registered as an urology in Southaven, Mississippi and active in the NPI registry since May 2008. The organization lists Deborah A Eddlestone, Consultant, as its authorized official.

NPPES Registry Identity

NPI1093973836
Entity TypeOrganization
Primary Taxonomy208800000X
Legal Business NameUROLOGY GROUP PC
Location Address401 SOUTHCREST CIR, SUITE 201Southaven, MS 38671
Mailing Address401 Southcrest Cir, Suite 201Southaven, MS 38671-6726 · (662) 349-4329
Phone(662) 349-4329
Organization SubpartNo
Authorized OfficialDeborah A EddlestoneConsultant · (901) 271-2272
Enumeration DateMay 29, 2008
Last NPPES UpdateAugust 29, 2018
✔ NPI 1093973836 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
401 SOUTHCREST CIR, Southaven, MS 38671
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Other Identifiers 1

Medicaid09070511MS

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arkansas Health & Wellness and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Urology Group Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to Urology Group PC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (6)

Jessica Lawrence, APN, FNP
Nurse Practitioner
NPI 1609100536
1265 UNION AVE
Memphis, TN 38104
(901) 516-7600
✔ PECOS✔ Accepts Medicare12 mi
Mark Greenberger, M.D.
Urology
NPI 1497860720
6029 WALNUT GROVE RD SUITE 300
Memphis, TN 38120
(901) 767-8158
✔ PECOS✔ Accepts Medicare14 mi
David Gubin, MD
Urology
NPI 1235164286
6029 WALNUT GROVE RD. SUITE 300
Memphis, TN 38120
(901) 767-8158
✔ PECOS✔ Accepts Medicare14 mi
6029 WALNUT GROVE RD SUITE 300
Memphis, TN 38120
(901) 767-8158
✔ PECOS✔ Accepts Medicare14 mi
Rachelle Brooks, FNP-C
Nurse Practitioner
NPI 1689407538
240 NEW BYHALIA RD
Collierville, TN 38017
(901) 853-1330
✔ PECOS✔ Accepts Medicare18 mi
Joseph Rose, BSN, FNP-BC
Nurse Practitioner
NPI 1336901594
1117 SUNSET DR STE 101
Grenada, MS 38901
(662) 227-1744
✔ PECOS83 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Urology Group PC's NPI number?

The NPI number for Urology Group PC is 1093973836. It was assigned to this organization in the NPPES registry on May 29, 2008.

Where is Urology Group PC located?

Urology Group PC is located at 401 Southcrest Cir Suite 201, Southaven, MS 38671. The listed phone number is (662) 349-4329.

What is Urology Group PC's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Urology Group PC enrolled in Medicare?

Yes. Urology Group PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Urology Group PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 2 Medicare specialties reassign their Medicare billing to Urology Group PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (3) and Urology (3). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Urology Group PC accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arkansas Health & Wellness and 37 other insurers list Urology Group PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Urology Group PC was last updated on August 29, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.