SOUTHERN UROLOGY, LLC
NPI 1740441955
Urology in Lafayette, LA
About Southern Urology, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SOUTHERN UROLOGY, LLC (NPI 1740441955) is a healthcare organization registered as an urology in Lafayette, Louisiana and active in the NPI registry since June 2008. The organization lists Mark R Eldredge, Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Southern Urology, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by November 30, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
30Medicare enrollment records show 30 clinicians reassign Medicare billing to Southern Urology, LLC, which bills Medicare for the services they deliver. Of these, 7 practice at this address and 21 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 4
Nearest to this location (20)
See all 30Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Urology, LLC's NPI number?
The NPI number for Southern Urology, LLC is 1740441955. It was assigned to this organization in the NPPES registry on June 19, 2008.
Where is Southern Urology, LLC located?
Southern Urology, LLC is located at 120 Rue Louis Xiv Bldg 2, Lafayette, LA 70508. The listed phone number is (337) 769-7779.
What is Southern Urology, LLC's specialty?
The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.
Is Southern Urology, LLC enrolled in Medicare?
Yes. Southern Urology, LLC is registered in the Medicare PECOS enrollment system.
When is Southern Urology, LLC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Louisiana, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Southern Urology, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 30 clinicians in 4 Medicare specialties reassign their Medicare billing to Southern Urology, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Urology (18), Nurse Practitioner (10) and Diagnostic Radiology (1). Of these, 7 practice at this address and 21 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Southern Urology, LLC accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care, Ambetter from Arkansas Health & Wellness and Ambetter from Buckeye Health Plan and 30 other insurers list Southern Urology, 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 Southern Urology, LLC was last updated on July 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Southern Urology, Llc · NPI 1740441955
Urology organization in Lafayette, Louisiana. Organization record, active in the CMS NPPES registry since June 19, 2008.
## Identity
- **NPI:** 1740441955 (Entity type: Organization)
- **Enumerated:** June 19, 2008
- **Primary specialty:** Urology · taxonomy 208800000X
- **Organization subpart:** No
- **Authorized official:** Mark Eldredge, MANAGER
## Practice location
- **Address:** 120 RUE LOUIS XIV BLDG 2, Lafayette, LA 70508-5739
- **Phone:** (337) 769-7779 · **Fax:** (337) 769-7800
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** November 30, 2026 (Non-DME Part B, Louisiana, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 30 clinicians in 4 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Urology (18), Nurse Practitioner (10), Diagnostic Radiology (1); 7 practice at this address and 21 within 10 miles; [full list](https://npiprofile.com/npi/1740441955/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 17, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1740441955) · Data from the CMS NPPES public registry.