Organization Active NPI

The Urology Group

  • Urology Physician
  • Hardeeville, SC
National Provider Identifier
1023021805
Registry record updated Jun 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
Legal business name
THE UROLOGY GROUP
Practice address
300 New River Pkwy Ste 17
Hardeeville, SC 29927-4549
Phone
(843) 208-3100
Fax
(877) 649-6028
NPI assigned
Aug 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Manuel Jose Perez, MDNPI 1083627814
Title
President/Owner
Phone
(843) 208-3100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208800000X Primary

Addresses

Primary practice location

300 New River Pkwy Ste 17
Hardeeville, SC 29927-4549

Mailing address

300 New River Pkwy Ste 17
Hardeeville, SC 29927-4549
Phone (843) 208-3100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041011000036 SC Part B Supplier - Clinic/Group Practice 6204895642 Receives reassigned benefits from 1 practitioner
Practice locations: Hardeeville, SC

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
42D1006867Urology Group,the300 New River Parkway Suite 17, Hardeeville, SC 29927Provider-performed microscopyDec 2, 2026

National Provider Directory

National Provider Directory

Locations

843 William Hilton Pkwy
Ste B
Hilton Head, SC 29928
Phone (843) 681-8203

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718150400000",
    "number": "1023021805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 NEW RIVER PKWY STE 17",
            "city": "HARDEEVILLE",
            "state": "SC",
            "postal_code": "299274549",
            "telephone_number": "843-208-3100",
            "fax_number": "877-649-6028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 NEW RIVER PKWY STE 17",
            "city": "HARDEEVILLE",
            "state": "SC",
            "postal_code": "299274549",
            "telephone_number": "843-208-3100",
            "fax_number": "877-649-6028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE UROLOGY GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-14",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "MANUEL",
        "authorized_official_middle_name": "JOSE",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "843-208-3100",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hardeeville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.