SOUTHWEST UROLOGY CLINIC-MONTICELLO
NPI 1134994528
Urology in Monticello, MS

Q: What is Southwest Mississippi Regional Medical Center's specialty?

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

Active since November 16, 2023CLIA 25D2232586 · Waiver

1065 E BROAD ST, MONTICELLO, MS 39654(601) 250-4344(601) 250-4345 Get Directions Write a Review

NPPES record last updated: November 16, 2023. Verified against the NPPES registry weekly; last sync: October 04, 2026.

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About Southwest Urology Clinic-monticello NPPES

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

SOUTHWEST UROLOGY CLINIC-MONTICELLO (NPI 1134994528) is a healthcare organization registered as an urology in Monticello, Mississippi and active in the NPI registry since November 2023. The organization holds a CLIA Waiver certificate valid through August 15, 2027 and lists Charla Rowley, Ceo, as its authorized official.

NPPES Registry Identity

NPI1134994528

Entity TypeOrganization

Primary Taxonomy208800000X

Legal Business NameSOUTHWEST MISSISSIPPI REGIONAL MEDICAL CENTER

Location Address1065 E BROAD STMonticello, MS 39654-7703

Mailing AddressPo Box 490Mccomb, MS 39649-0490 · (601) 250-4366 · Fax (601) 250-4367

Phone(601) 250-4344

Fax(601) 250-4345

Organization SubpartYes

Authorized OfficialCharla RowleyCeo · (601) 249-1806

Enumeration DateNovember 16, 2023

NPPES CertifiedNovember 16, 2023

✔ NPI 1134994528 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.

Also ListedNurse PractitionerTaxonomy 363L00000X

1065 E BROAD ST, Monticello, MS 39654

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Other Names 1

Doing Business AsSouthwest Urology Clinic-monticello

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 25D2232586

Smrmc Dba Southwest Urology Clinic · Mccomb, MS

Active · expires Aug 15, 2027

CLIA Number25D2232586

Laboratory TypePhysician Office

Certificate Effective DateAugust 16, 2025

Certificate Expiration DateAugust 15, 2027

Laboratory DirectorDr. Christopher J. Shiepis

Laboratory Phone(601) 250-4344

Laboratory LocationSmrmc Dba Southwest Urology Clinic1015 Delaware Ave Ste B, Mccomb, MS 39648

CLIA data matches this NPI record on: Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 19

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

BECKY JAN MERCIER RN, CFNP

Nurse Practitioner (Family)