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SOUTHERN UROLOGY ASSOCIATES LLC
NPI 1962557157
Urology in Gulfport, MS

Active since January 25, 2007
12330 ASHLEY DR, GULFPORT, MS 39503(228) 831-1572(228) 831-1218 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 22, 2020, Jun 21, 2018 (2 updates tracked since 2018).

About Southern Urology Associates Llc NPPES

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

SOUTHERN UROLOGY ASSOCIATES LLC (NPI 1962557157) is a healthcare organization registered as an urology in Gulfport, Mississippi and active in the NPI registry since January 2007. The organization lists Robert J. Lageese, Vice President, as its authorized official.

NPPES Registry Identity

NPI1962557157
Entity TypeOrganization
Primary Taxonomy208800000X
Legal Business NameSOUTHERN UROLOGY ASSOCIATES LLC
Location Address12330 ASHLEY DRGulfport, MS 39503-2737
Mailing Address12330 Ashley DrGulfport, MS 39503-2737 · (228) 831-1572 · Fax (228) 831-1218
Phone(228) 831-1572
Fax(228) 831-1218
Organization SubpartNo
Authorized OfficialRobert J. LageeseVice President · (504) 988-7044
Enumeration DateJanuary 25, 2007
Last NPPES UpdateAugust 22, 20202 updates tracked since enumeration
✔ NPI 1962557157 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
12330 ASHLEY DR, Gulfport, MS 39503
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

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

MATTHEW JACOB MURRAY MD
Internal Medicine
12330 ASHLEY DR
GULFPORT, MS 39503
Harrison County (228) 831-1572
JUSTIN ROSS TILLMAN FNP
Nurse Practitioner (Family)
12330 ASHLEY DR
GULFPORT, MS 39503
Harrison County (228) 831-1572
CURTIS A BROUSSARD MD
General Practice
12330 ASHLEY DR
GULFPORT, MS 39503
Harrison County (228) 831-1572
MR. ALVIN WALSH III NP-C
Nurse Practitioner
12330 ASHLEY DR
GULFPORT, MS 39503
Harrison County (228) 832-9038
GARDEN PARK PHYSICIAN SERVICES CORP
Specialist
12330 ASHLEY DR
GULFPORT, MS 39503
Harrison County (228) 863-7117

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 Associates LLC's NPI number?

The NPI number for Southern Urology Associates LLC is 1962557157. It was assigned to this organization in the NPPES registry on January 25, 2007.

Where is Southern Urology Associates LLC located?

Southern Urology Associates LLC is located at 12330 Ashley Dr, Gulfport, MS 39503. The listed phone number is (228) 831-1572.

What is Southern Urology Associates LLC's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

When was this NPI record last updated?

The NPPES record for Southern Urology Associates LLC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.