SOUTHEAST UROGYN LLC
NPI 1548513617
Obstetrics & Gynecology - Urogynecology and Reconstructive Pelvic Surgery in Jackson, MS
About Southeast Urogyn Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SOUTHEAST UROGYN LLC (NPI 1548513617) is a healthcare organization registered as an urogynecology and reconstructive pelvic surgery in Jackson, Mississippi and active in the NPI registry since October 2012. The organization lists Julie Ferguson, Administrator, as its authorized official.Information from the official NPPES registry record.
NPPES Registry Identity
Specialties & Licenses 2
A subspecialist in Urogynecology and Reconstructive Pelvic Surgery is a physician in Urology or Obstetrics and Gynecology who, by virtue of education and training, is prepared to provide consultation and comprehensive management of women with complex benign pelvic conditions, lower urinary tract disorders, and pelvic floor dysfunction. Comprehensive management includes those diagnostic and therapeutic procedures necessary for the total care of the patient with these conditions and complications resulting from them.
Group Practice 1
Accepted Insurance
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 25D2106956
- Facility Type
- Physician Office
- Certificate Effective Date
- January 04, 2024
- Certificate Expiration Date
- January 03, 2026
- Laboratory Director
- ROBIN JACKSON
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Southeast Urogyn Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
JACKSON, MS 39202
JACKSON, MS 39202
JACKSON, MS 39202
JACKSON, MS 39202
JACKSON, MS 39202
JACKSON, MS 39202
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1548513617, enumerated as an "organization" on October 26, 2012.
The provider is located at 501 MARSHALL ST SUITE 600 JACKSON, MS 39202 and the phone number is (601) 948-6540.
Obstetrics & Gynecology with taxonomy code 207VF0040X and a focus in Urogynecology and Reconstructive Pelvic Surgery.
The provider might be accepting Accepts: Ambetter from Arkansas Health & Wellness, Ambetter. Please consult your insurance carrier or call the provider to verify.
