TYLERTOWN SURGICAL ASSOCIATES
NPI 1114030129
Clinic/Center in Tylertown, MS

Q: What is Tylertown Surgical Associates's NPI number?

The NPI number for Tylertown Surgical Associates is 1114030129. It was assigned to this organization in the NPPES registry on August 16, 2006.

Q: What is Tylertown Surgical Associates's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Active since August 16, 2006

250 HOSPITAL DR, TYLERTOWN, MS 39667(601) 876-4961(601) 876-9172 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Tylertown Surgical Associates NPPES

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

TYLERTOWN SURGICAL ASSOCIATES (NPI 1114030129) is a healthcare organization registered as a clinic/center in Tylertown, Mississippi and active in the NPI registry since August 2006. The organization lists Posavanike S Ganaraj, President, as its authorized official.

NPPES Registry Identity

NPI1114030129

Entity TypeOrganization

Primary Taxonomy261Q00000X

Legal Business NameTYLERTOWN SURGICAL ASSOCIATES

Location Address250 HOSPITAL DRTylertown, MS 39667-2020

Mailing Address250 Hospital Dr, P.0. Box 465Tylertown, MS 39667-2020 · (601) 876-4961 · Fax (601) 876-9172

Phone(601) 876-4961

Fax(601) 876-9172

Organization SubpartNo

Authorized OfficialPosavanike S GanarajPresident · (601) 876-4961

Enumeration DateAugust 16, 2006

Last NPPES UpdateAugust 22, 2020

✔ NPI 1114030129 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities

Taxonomy Code261Q00000X

License✔ Licensed in MS · 07415

Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

250 HOSPITAL DR, Tylertown, MS 39667

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Other Identifiers 1

Medicaid09016259MS

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. POSAVANIKE S GANARAJ M.D.

Family Medicine

250 HOSPITAL DR
TYLERTOWN, MS 39667

Walthall County (601) 876-4961

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 Tylertown Surgical Associates's NPI number?

The NPI number for Tylertown Surgical Associates is 1114030129. It was assigned to this organization in the NPPES registry on August 16, 2006.

Where is Tylertown Surgical Associates located?

Tylertown Surgical Associates is located at 250 Hospital Dr, Tylertown, MS 39667. The listed phone number is (601) 876-4961.

What is Tylertown Surgical Associates's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Tylertown Surgical Associates was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.