MISSISSIPPI UROLOGY OUTPATIENT SURGERY CENTER, LLC
NPI 1548655053
Clinic/Center - Ambulatory Surgical in Jackson, MS

Active since April 01, 2015
501 MARSHALL ST, SUITE 201, JACKSON, MS 39202(601) 353-9900(601) 353-3654 Get Directions Write a Review

NPPES record last updated: March 21, 2017. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Mar 21, 2017, Mar 15, 2017, Nov 2, 2016 (3 updates tracked since 2016).

About Mississippi Urology Outpatient Surgery Center, Llc NPPES

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

MISSISSIPPI UROLOGY OUTPATIENT SURGERY CENTER, LLC (NPI 1548655053) is a healthcare organization registered as an ambulatory surgical in Jackson, Mississippi and active in the NPI registry since April 2015. The organization lists Harold J Blalock, Owner, as its authorized official.

NPPES Registry Identity

NPI1548655053
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameMISSISSIPPI UROLOGY OUTPATIENT SURGERY CENTER, LLC
Location Address501 MARSHALL ST, SUITE 201Jackson, MS 39202-1651
Mailing Address501 Marshall St, Suite 201Jackson, MS 39202-1651 · (601) 353-9900 · Fax (601) 353-3654
Fax(601) 353-3654
Organization SubpartNo
Authorized OfficialHarold J BlalockOwner · (601) 353-9900
Enumeration DateApril 1, 2015
Last NPPES UpdateMarch 21, 20173 updates tracked since enumeration
NPI 1548655053 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
501 MARSHALL ST, Jackson, MS 39202

Other Identifiers 1

Medicare PIN533277MS

Accepted 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 of Waiver 25D2116363

Mississippi Urology Outpatient Surgery Center · Jackson, MS
Expired · Jul 24, 2026
CLIA Number25D2116363
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateJuly 25, 2024
Certificate Expiration DateJuly 24, 2026
Laboratory DirectorKellie Williams
Laboratory Phone(601) 948-1200
Laboratory LocationMississippi Urology Outpatient Surgery Center501 Marshall Street Suite 201, Jackson, MS 39202
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 28

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Injection, onabotulinumtoxina, 1 unit J0585
Onabotulinumtoxina, also known as Botox, is a medication injected into muscles. It's used to treat various conditions by blocking nerve activity in the muscles, causing a temporary reduction in muscle activity. The units refer to the dosage.
12,451 services72 patients
Diagnostic exam of bladder and urethra using an endoscope 52000
This procedure involves using a thin, flexible tube with a light, called an endoscope, to examine the bladder and urethra. It helps in identifying any abnormalities or issues that may be causing discomfort or other symptoms.
1,177 services1,003 patients
Biopsy of prostate gland 55700
A biopsy of the prostate gland is a procedure where a small sample of tissue is taken from your body's internal gland, located near the bladder, for testing. This helps in diagnosing potential health issues. It's usually done with a fine needle and imaging technology for accuracy.
376 services370 patients
Ultrasound scan of pelvic region through rectum 76872
An ultrasound scan of the pelvic region through the rectum is a medical procedure where a small, smooth device is gently inserted into the rectum. This device uses sound waves to create images of the internal structures in the lower abdomen, aiding in diagnosis and treatment planning.
367 services361 patients
Simple change of bladder tube 51705
A simple change of bladder tube involves replacing your current urinary drainage tube with a new one. This is done to maintain hygiene and prevent infections. It's a straightforward process, usually causing minimal discomfort, and helps ensure your body can properly dispose of waste fluids.
110 services18 patients
Exam with injections of chemical for destruction of bladder using an endoscope 52287
This procedure involves the use of a thin, flexible tube with a light (endoscope) for internal examination. A chemical is then injected to help eliminate specific issues in the bladder. It's a standard and safe process.
108 services71 patients

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.

Nurse Practitioner
501 MARSHALL ST, STE 104
JACKSON, MS 39202
Obstetrics & Gynecology
501 MARSHALL ST, SUITE 400
JACKSON, MS 39202
Obstetrics & Gynecology
501 MARSHALL ST, STE 400
JACKSON, MS 39202
Ophthalmology
501 MARSHALL ST, SUITE 603
JACKSON, MS 39202
Clinic/Center (Endoscopy)
501 MARSHALL ST, SUITE 201
JACKSON, MS 39202
Audiologist
501 MARSHALL ST, SUITE 602
JACKSON, MS 39202
Nurse Practitioner (Obstetrics & Gynecology)
501 MARSHALL ST, SUITE 600
JACKSON, MS 39202
Nurse Practitioner (Acute Care)
501 MARSHALL ST, STE 104
JACKSON, MS 39202

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 Mississippi Urology Outpatient Surgery Center, LLC's NPI number?

The NPI number for Mississippi Urology Outpatient Surgery Center, LLC is 1548655053. It was assigned to this organization in the NPPES registry on April 1, 2015.

Where is Mississippi Urology Outpatient Surgery Center, LLC located?

Mississippi Urology Outpatient Surgery Center, LLC is located at 501 Marshall St Suite 201, Jackson, MS 39202. The listed phone number is (601) 353-9900.

What is Mississippi Urology Outpatient Surgery Center, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

What insurance does Mississippi Urology Outpatient Surgery Center, LLC 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 3 other insurers list Mississippi Urology Outpatient Surgery Center, LLC 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 Mississippi Urology Outpatient Surgery Center, LLC was last updated on March 21, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.