GENERAL SURGERY OF SOUTHAVEN LLC
NPI 1164535415
Surgery in Southaven, MS

Q: What is General Surgery Of Southaven LLC's NPI number?

The NPI number for General Surgery Of Southaven LLC is 1164535415. It was assigned to this organization in the NPPES registry on August 17, 2006.

Q: What is General Surgery Of Southaven LLC's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Active since August 17, 2006

401 SOUTHCREST CIR, SUITE 210, SOUTHAVEN, MS 38671(662) 536-1944(662) 536-1947 Get Directions Write a Review

NPPES record last updated: March 24, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About General Surgery Of Southaven Llc NPPES

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

GENERAL SURGERY OF SOUTHAVEN LLC (NPI 1164535415) is a healthcare organization registered as a surgery in Southaven, Mississippi and active in the NPI registry since August 2006. The organization lists Daniel Benjamin Fore, Owner, as its authorized official.

NPPES Registry Identity

NPI1164535415

Entity TypeOrganization

Primary Taxonomy208600000X

Legal Business NameGENERAL SURGERY OF SOUTHAVEN LLC

Location Address401 SOUTHCREST CIR, SUITE 210Southaven, MS 38671-6726

Mailing Address401 Southcrest Cir, Suite 210Southaven, MS 38671-6726 · (662) 536-1944 · Fax (662) 536-1947

Phone(662) 536-1944

Fax(662) 536-1947

Organization SubpartNo

Authorized OfficialDaniel Benjamin ForeOwner · (662) 536-1944

Enumeration DateAugust 17, 2006

Last NPPES UpdateMarch 24, 2016

✔ NPI 1164535415 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

401 SOUTHCREST CIR, Southaven, MS 38671

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Other Identifiers 3

Medicare PINDF6057

Medicaid03873250MS

Medicare PINC03541MS

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

Other Providers at the Same Location NPPES 15

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

MIDSOUTH HOSPITALISTS, PC

Specialist

401 SOUTHCREST CIR, SUITE 104
SOUTHAVEN, MS 38671

Desoto County (662) 536-3201

UROLOGY GROUP PC

Urology

401 SOUTHCREST CIR, SUITE 201
SOUTHAVEN, MS 38671

Desoto County (662) 349-4329

JODIE ORR DPT

Physical Therapist (Orthopedic)

401 SOUTHCREST CIR
SOUTHAVEN, MS 38671

Desoto County (662) 349-1546

FOUNDATION INTERNAL MEDICINE, P.C.

Clinic/Center (Primary Care)

401 SOUTHCREST CIR, SUITE 207
SOUTHAVEN, MS 38671

Desoto County (662) 349-9292

JENNA SCRUGGS NP

Nurse Practitioner (Family)

401 SOUTHCREST CIR
SOUTHAVEN, MS 38671

Desoto County (662) 349-0488

DANIEL B FORE M.D.

Surgery

401 SOUTHCREST CIR, SUITE 210
SOUTHAVEN, MS 38671

Desoto County (662) 536-1944

SHANNON ROSE WOODS N.P.

Nurse Practitioner (Gerontology)

401 SOUTHCREST CIR, SUITE 212
SOUTHAVEN, MS 38671

Desoto County (662) 349-0488

GREGORY KEITH LAMBERT CRNA

Nurse Anesthetist, Certified Registered

401 SOUTHCREST CIR, SUITE 200
SOUTHAVEN, MS 38671

Desoto County (662) 349-2588

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 General Surgery Of Southaven LLC's NPI number?

The NPI number for General Surgery Of Southaven LLC is 1164535415. It was assigned to this organization in the NPPES registry on August 17, 2006.

Where is General Surgery Of Southaven LLC located?

General Surgery Of Southaven LLC is located at 401 Southcrest Cir Suite 210, Southaven, MS 38671. The listed phone number is (662) 536-1944.

What is General Surgery Of Southaven LLC's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

When was this NPI record last updated?

The NPPES record for General Surgery Of Southaven LLC was last updated on March 24, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.