SOUTHERN UROLOGY, P. A.
NPI 1316065436
Specialist in Hattiesburg, MS
About Southern Urology, P. A. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SOUTHERN UROLOGY, P. A. (NPI 1316065436) is a healthcare organization registered as a specialist in Hattiesburg, Mississippi and active in the NPI registry since March 2007. The organization holds a CLIA Microscopy certificate valid through July 21, 2028 and lists Deborah T Azar, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 4
Group Practice 1
Accepted 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)
Southern Urology, P. A. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
5Medicare enrollment records show 5 clinicians reassign Medicare billing to Southern Urology, P. A., which bills Medicare for the services they deliver. Of these, 3 practice at this address and 5 within 10 miles. They are listed nearest first.
Clinicians, nearest first (5)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 for Provider-Performed Microscopy Procedures (PPMP) 25D1028300
Southern Urology · Hattiesburg, MSFrequently 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 Southern Urology, P. A.'s NPI number?
The NPI number for Southern Urology, P. A. is 1316065436. It was assigned to this organization in the NPPES registry on March 27, 2007.
Where is Southern Urology, P. A. located?
Southern Urology, P. A. is located at 139 Fairfield Dr, Hattiesburg, MS 39402. The listed phone number is (601) 450-2417.
What is Southern Urology, P. A.'s specialty?
The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.
Is Southern Urology, P. A. enrolled in Medicare?
Yes. Southern Urology, P. A. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Southern Urology, P. A.?
According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 2 Medicare specialties reassign their Medicare billing to Southern Urology, P. A.. 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 Urology (4) and Nurse Practitioner (1). Of these, 3 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Southern Urology, P. A. hold a CLIA laboratory certificate?
Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 25D1028300) is associated with this NPI, valid through July 21, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Southern Urology, P. A. accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 2 other insurers list Southern Urology, P. A. 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 Southern Urology, P. A. was last updated on February 15, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Southern Urology, P. A. · NPI 1316065436
Specialist organization in Hattiesburg, Mississippi. Organization record, active in the CMS NPPES registry since March 27, 2007.
## Identity
- **NPI:** 1316065436 (Entity type: Organization)
- **Enumerated:** March 27, 2007
- **Primary specialty:** Specialist · taxonomy 174400000X
- **Organization subpart:** No
- **Authorized official:** Deborah Azar, PRESIDENT
## Practice location
- **Address:** 139 FAIRFIELD DR, Hattiesburg, MS 39402-1303
- **Phone:** (601) 450-2417 · **Fax:** (601) 450-2410
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 5 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Urology (4), Nurse Practitioner (1); 3 practice at this address and 5 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 15, 2011
- **Other identifiers:** Medicaid 05137554 (MS); Medicare PIN DC4565 (MS); Medicare UPIN C03142 (MS); and 1 more
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1316065436) · Data from the CMS NPPES public registry.