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SOUTHERN UROLOGY, P. A.
NPI 1316065436
Specialist in Hattiesburg, MS

Active since March 27, 2007CLIA 25D1028300 · Microscopy
139 FAIRFIELD DR, HATTIESBURG, MS 39402(601) 450-2417(601) 450-2410 Get Directions Write a Review

NPPES record last updated: February 15, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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

NPI1316065436
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameSOUTHERN UROLOGY, P. A.
Location Address139 FAIRFIELD DRHattiesburg, MS 39402-1303
Mailing Address139 Fairfield DrHattiesburg, MS 39402-1303 · (601) 450-2401 · Fax (601) 450-2410
Phone(601) 450-2417
Fax(601) 450-2410
Organization SubpartNo
Authorized OfficialDeborah T AzarPresident · (601) 450-2401
Enumeration DateMarch 27, 2007
Last NPPES UpdateFebruary 15, 2011
✔ NPI 1316065436 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
139 FAIRFIELD DR, Hattiesburg, MS 39402
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Other Identifiers 4

Medicaid05137554MS
Medicare PINDC4565MS
Medicare UPINC03142MS
Medicare NSC5272990001MS

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 Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.Insurance ›

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, MS
Active · expires Jul 21, 2028
CLIA Number25D1028300
Laboratory TypePhysician Office
Certificate Effective DateJuly 22, 2026
Certificate Expiration DateJuly 21, 2028
Laboratory DirectorDr. Deborah T. Azar
Laboratory Phone(601) 450-2401
Laboratory LocationSouthern Urology139 Fairfield Drive 1st Floor, Hattiesburg, MS 39402
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 12

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

DR. HAL T LIDDELL M.D.
Urology
139 FAIRFIELD DR
HATTIESBURG, MS 39402
Lamar County (601) 450-2401
SOUTHERN SURGICAL ASSOCIATES, P. A.
Specialist
139 FAIRFIELD DR
HATTIESBURG, MS 39402
Lamar County (601) 450-2401
ROBIN H. SCHWARTZ, M.D., P.A.
Anesthesiology
139 FAIRFIELD DR
HATTIESBURG, MS 39402
Lamar County (601) 450-2409
DR. NATHAN LYLE COMPTON M.D.
Surgery
139 FAIRFIELD DR
HATTIESBURG, MS 39402
Lamar County (601) 450-2401
DR. GEORGE JAMES AZAR III M. D.
Surgery
139 FAIRFIELD DR
HATTIESBURG, MS 39402
Lamar County (601) 450-2401
C & O ANESTHESIA LLC
Nurse Anesthetist, Certified Registered
139 FAIRFIELD DR
HATTIESBURG, MS 39402
Lamar County (601) 450-2401
DR. ROBIN H SCHWARTZ M.D.
Anesthesiology
139 FAIRFIELD DR
HATTIESBURG, MS 39402
Lamar County (601) 450-2409
JOSHUA COLE HAMMONS
Nurse Practitioner (Family)
139 FAIRFIELD DR
HATTIESBURG, MS 39402
Lamar County (601) 450-2401

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 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.

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 from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee and 1 other insurer 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.