1. Home
  2. Directory
  3. South Carolina
  4. West Columbia
  5. Obstetrics Gynecology
  6. NPI Profile

SOUTHERN UROGYNECOLOGY LLC
NPI 1952622326
Obstetrics & Gynecology in West Columbia, SC

Active since June 19, 2010CLIA 42D2010888 · Waiver
115 MIDLANDS CT, WEST COLUMBIA, SC 29169(803) 732-0738 Get Directions Write a Review

NPPES record last updated: February 6, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Feb 6, 2026, Sep 2, 2025 (2 updates tracked since 2025).

About Southern Urogynecology Llc NPPES

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

SOUTHERN UROGYNECOLOGY LLC (NPI 1952622326) is a healthcare organization registered as an obstetrics & gynecology in West Columbia, South Carolina and active in the NPI registry since June 2010. The organization holds a CLIA Waiver certificate valid through September 29, 2027 and lists Andrea M Pezzella, Owner, as its authorized official.

NPPES Registry Identity

NPI1952622326
Entity TypeOrganization
Primary Taxonomy207V00000X
Legal Business NameSOUTHERN UROGYNECOLOGY LLC
Location Address115 MIDLANDS CTWest Columbia, SC 29169-3456
Mailing Address115 Midlands CtWest Columbia, SC 29169-3456 · (803) 732-0738
Phone(803) 732-0738
Organization SubpartNo
Authorized OfficialAndrea M PezzellaOwner · (803) 732-0738
Enumeration DateJune 19, 2010
Last NPPES UpdateFebruary 6, 20262 updates tracked since enumeration
NPPES CertifiedFebruary 6, 2026
✔ NPI 1952622326 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in SC · 29701
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
115 MIDLANDS CT, West Columbia, SC 29169
Open in Google Maps ↗

Other Identifiers 1

OtherH19207SC · Upin

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of South Carolina.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 42D2010888

Southern Urogynecology, LLC · West Columbia, SC
Active · expires Sep 29, 2027
CLIA Number42D2010888
Laboratory TypePhysician Office
Certificate Effective DateSeptember 30, 2025
Certificate Expiration DateSeptember 29, 2027
Laboratory DirectorDr. Andrea M. Pezzella
Laboratory Phone(803) 457-7000
Laboratory LocationSouthern Urogynecology, LLC115 Midlands Court, West Columbia, SC 29169
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

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

LAUREN COLLINS BRAKEBILL FNP
Nurse Practitioner (Family)
115 MIDLANDS CT
WEST COLUMBIA, SC 29169
Lexington County (803) 457-7000
JESSICA JACKSON RUEB M.D.
Urology (Urogynecology and Reconstructive Pelvic Surgery)
115 MIDLANDS CT
WEST COLUMBIA, SC 29169
Lexington County (803) 457-7000
ANDREA M PEZZELLA MD
Obstetrics & Gynecology (Gynecology)
115 MIDLANDS CT
WEST COLUMBIA, SC 29169
Lexington County (803) 457-7000
MRS. WENDY R WALKER APRN
Advanced Practice Midwife
115 MIDLANDS CT
WEST COLUMBIA, SC 29169
Lexington County (803) 457-7000

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 Urogynecology LLC's NPI number?

The NPI number for Southern Urogynecology LLC is 1952622326. It was assigned to this organization in the NPPES registry on June 19, 2010.

Where is Southern Urogynecology LLC located?

Southern Urogynecology LLC is located at 115 Midlands Ct, West Columbia, SC 29169. The listed phone number is (803) 732-0738.

What is Southern Urogynecology LLC's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Does Southern Urogynecology LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 42D2010888) is associated with this NPI, valid through September 29, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Southern Urogynecology LLC accept?

Health plans from BlueCross BlueShield of South Carolina list Southern Urogynecology 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 Urogynecology LLC was last updated on February 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.