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

Q: What is Southern Neurologic & Spinal Institute's specialty?

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

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: August 16, 2026.

On this page

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

Phone(601) 579-4440

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

Open in Google Maps ↗

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.

LINCOLN CENTER CLINIC

Family Medicine

1 LINCOLN PKWY, SUITE 302
HATTIESBURG, MS 39402

Lamar County (601) 296-7848

BLACKWATER MEDICAL LLC

Durable Medical Equipment & Medical Supplies

1 LINCOLN PKWY, SUITE #305
HATTIESBURG, MS 39402

Lamar County (601) 264-0059

CYNTHIA D ROUSE CFNP

Specialist

1 LINCOLN PKWY, STE 300
HATTIESBURG, MS 39402

Lamar County (601) 579-4440

HATTIESBURG CLINIC, PA

Family Medicine

1 LINCOLN PKWY
HATTIESBURG, MS 39402

Lamar County (601) 261-1750

MRS. CHRISTINA I WILLIAMS PH.D.

Psychologist (Clinical)

1 LINCOLN PKWY, SUITE 202
HATTIESBURG, MS 39402

Lamar County (601) 288-8050

SOUTHERN MEDICAL IMAGING

Clinic/Center (Magnetic Resonance Imaging (MRI))

1 LINCOLN PKWY, SUITE 105
HATTIESBURG, MS 39402

Lamar County (601) 579-4463

VENKATASUBRAMANIAN BASKARARAJAN M.D.

Psychiatry & Neurology (Psychiatry)

1 LINCOLN PKWY, SUITE 202
HATTIESBURG, MS 39402

Lamar County (601) 288-8050

STEFFANY BEDWELL NP

Nurse Practitioner (Primary Care)

1 LINCOLN PKWY, SUITE 103
HATTIESBURG, MS 39402

Lamar County (601) 261-1600

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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.