SOUTHERN UROLOGICAL ASSOCIATES
NPI 1861676892
Specialist in Valdosta, GA

Active since December 27, 2007
2805 N OAK ST, SUITE B, VALDOSTA, GA 31602(229) 316-2990(229) 259-9547 Get Directions Write a Review

NPPES record last updated: December 27, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Southern Urological Associates NPPES

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

SOUTHERN UROLOGICAL ASSOCIATES (NPI 1861676892) is a healthcare organization registered as a specialist in Valdosta, Georgia and active in the NPI registry since December 2007. The organization lists Jacek T Sosnowski, Owner, as its authorized official.

NPPES Registry Identity

NPI1861676892
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameSOUTHERN UROLOGICAL ASSOCIATES
Location Address2805 N OAK ST, SUITE BValdosta, GA 31602-5922
Mailing Address2805 N Oak St, Suite BValdosta, GA 31602-5922 · (229) 316-2990 · Fax (229) 259-9547
Fax(229) 259-9547
Organization SubpartNo
Authorized OfficialJacek T SosnowskiOwner · (229) 316-2990
Enumeration DateDecember 27, 2007
NPI 1861676892 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in GA · 058647
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.
2805 N OAK ST, Valdosta, GA 31602

Other Identifiers 1

Medicare UPINF06546GA

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

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

Clinic/Center (Ambulatory Surgical)
2805 N OAK ST
VALDOSTA, GA 31602

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 Urological Associates's NPI number?

The NPI number for Southern Urological Associates is 1861676892. It was assigned to this organization in the NPPES registry on December 27, 2007.

Where is Southern Urological Associates located?

Southern Urological Associates is located at 2805 N Oak St Suite B, Valdosta, GA 31602. The listed phone number is (229) 316-2990.

What is Southern Urological Associates'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 Urological Associates was last updated on December 27, 2007. 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.