SOUTHERN NEUROLOGIC & SPINAL INSTITUTE
NPI 1336240969
Specialist in Hattiesburg, MS

Active since September 26, 2006
1 LINCOLN PKWY, STE 300, HATTIESBURG, MS 39402(601) 579-4440(601) 579-4460 Get Directions Write a Review

NPPES record last updated: April 7, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Southern Neurologic & Spinal Institute NPPES

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

SOUTHERN NEUROLOGIC & SPINAL INSTITUTE (NPI 1336240969) is a healthcare organization registered as a specialist in Hattiesburg, Mississippi and active in the NPI registry since September 2006. The organization lists Shelley H Gendusa, Administrator, as its authorized official.

NPPES Registry Identity

NPI1336240969
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameSOUTHERN NEUROLOGIC & SPINAL INSTITUTE
Location Address1 LINCOLN PKWY, STE 300Hattiesburg, MS 39402-3262
Mailing Address1 Lincoln Pkwy, Ste 300Hattiesburg, MS 39402-3262 · (601) 579-4440 · Fax (601) 579-4460
Fax(601) 579-4460
Organization SubpartNo
Authorized OfficialShelley H GendusaAdministrator · (601) 579-4440
Enumeration DateSeptember 26, 2006
Last NPPES UpdateApril 7, 2008
NPI 1336240969 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.

1 LINCOLN PKWY, Hattiesburg, MS 39402

Other Identifiers 2

Medicare PINC02690MS
Medicaid09016031MS

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 20

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

Family Medicine
1 LINCOLN PKWY, SUITE 302
HATTIESBURG, MS 39402
Durable Medical Equipment & Medical Supplies
1 LINCOLN PKWY, SUITE #305
HATTIESBURG, MS 39402
Specialist
1 LINCOLN PKWY, STE 300
HATTIESBURG, MS 39402
Family Medicine
1 LINCOLN PKWY
HATTIESBURG, MS 39402
Psychologist (Clinical)
1 LINCOLN PKWY, SUITE 202
HATTIESBURG, MS 39402
Clinic/Center (Magnetic Resonance Imaging (MRI))
1 LINCOLN PKWY, SUITE 105
HATTIESBURG, MS 39402
Psychiatry & Neurology (Psychiatry)
1 LINCOLN PKWY, SUITE 202
HATTIESBURG, MS 39402
Nurse Practitioner (Primary Care)
1 LINCOLN PKWY, SUITE 103
HATTIESBURG, MS 39402

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 Neurologic & Spinal Institute's NPI number?

The NPI number for Southern Neurologic & Spinal Institute is 1336240969. It was assigned to this organization in the NPPES registry on September 26, 2006.

Where is Southern Neurologic & Spinal Institute located?

Southern Neurologic & Spinal Institute is located at 1 Lincoln Pkwy Ste 300, Hattiesburg, MS 39402. The listed phone number is (601) 579-4440.

What is Southern Neurologic & Spinal Institute's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Southern Neurologic & Spinal Institute was last updated on April 7, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.