1. Home
  2. Directory
  3. Mississippi
  4. Southaven
  5. Clinic Center
  6. NPI Profile

DESOTO SURGERY CLINIC LLC
NPI 1528074184
Clinic/Center in Southaven, MS

Active since August 01, 2006
7580 CLARINGTON CV, SOUTHAVEN, MS 38671(662) 536-1545(662) 536-8220 Get Directions Write a Review

NPPES record last updated: March 14, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Desoto Surgery Clinic Llc NPPES

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

DESOTO SURGERY CLINIC LLC (NPI 1528074184) is a healthcare organization registered as a clinic/center in Southaven, Mississippi and active in the NPI registry since August 2006. The organization lists Michael E Foster, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1528074184
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameDESOTO SURGERY CLINIC LLC
Location Address7580 CLARINGTON CVSouthaven, MS 38671
Mailing Address7580 Clarington CvSouthaven, MS 38671 · (662) 536-1545 · Fax (662) 536-8220
Phone(662) 536-1545
Fax(662) 536-8220
Organization SubpartNo
Authorized OfficialMichael E FosterMedical Director · (662) 536-1545
Enumeration DateAugust 1, 2006
Last NPPES UpdateMarch 14, 2008
✔ NPI 1528074184 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
7580 CLARINGTON CV, Southaven, MS 38671
Open in Google Maps ↗

Other Identifiers 1

Medicaid08232036MS

Other Providers at the Same Location NPPES 18

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

LEE GRIMM, M.D., P.C.
Specialist
7580 CLARINGTON CV, SUITE 3
SOUTHAVEN, MS 38671
Desoto County (423) 854-0001
CASEY B MCGHEE P.T.
Physical Therapist
7580 CLARINGTON CV
SOUTHAVEN, MS 38671
Desoto County (901) 641-3000
SPECIALTY SURGERY CENTER, LLC
Clinic/Center (Ambulatory Surgical)
7580 CLARINGTON CV
SOUTHAVEN, MS 38671
Desoto County (615) 620-9300
ROBERT LAWRENCE RYAN CRNA
Nurse Anesthetist, Certified Registered
7580 CLARINGTON CV
SOUTHAVEN, MS 38671
Desoto County (662) 349-9136
MELANIE ANN HAYS NP
Nurse Practitioner (Family)
7580 CLARINGTON CV
SOUTHAVEN, MS 38671
Desoto County (901) 259-1600
MRS. MADISON GRACE PENA PTA
Physical Therapy Assistant
7580 CLARINGTON CV
SOUTHAVEN, MS 38671
Desoto County (901) 259-1600
DR. JOHN TOM MORRIS JR. M.D.
Orthopaedic Surgery
7580 CLARINGTON CV
SOUTHAVEN, MS 38671
Desoto County (901) 259-1600
WHITNEY HORNER PT
Physical Therapist
7580 CLARINGTON CV
SOUTHAVEN, MS 38671
Desoto County (901) 259-1600

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 Desoto Surgery Clinic LLC's NPI number?

The NPI number for Desoto Surgery Clinic LLC is 1528074184. It was assigned to this organization in the NPPES registry on August 1, 2006.

Where is Desoto Surgery Clinic LLC located?

Desoto Surgery Clinic LLC is located at 7580 Clarington Cv, Southaven, MS 38671. The listed phone number is (662) 536-1545.

What is Desoto Surgery Clinic LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Desoto Surgery Clinic LLC was last updated on March 14, 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.