Tupelo Urology Center

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

TUPELO UROLOGY CENTER

Practice address

2089 Southridge Dr Ste B
Tupelo, MS 38801-6478

Phone

(662) 234-1448

NPI assigned

May 9, 2024

Organization subpart

No

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

Authorized official

Name

Amanda Nicole Gardner

Title

Administrator

Phone

(662) 816-3791

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1715212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715212800000",
    "number": "1205684776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1013",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "386551013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2089 SOUTHRIDGE DR STE B",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388016478",
            "telephone_number": "662-234-1448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TUPELO UROLOGY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-09",
        "last_updated": "2024-05-09",
        "certification_date": "2024-05-09",
        "status": "A",
        "authorized_official_last_name": "GARDNER",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "662-816-3791"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Tupelo Smiles Family and Cosmetic Dentistry
• Tupelo Specialty Pharmacy, LLC
• Tupelo Surgery Center, L.L.C.
• Michelle Turba, NP
• Kayla Coleman Turnage, OTR/L
• Turnaround Care Medical Clinic LLC
• Blaine Joseph Turner Jr., DMD
• Celeste Turner, FNP, NP-C

• Ambulatory Surgical Clinic/Center in Tupelo, MS
• Providers in Tupelo, MS by specialty
• Ambulatory Surgical Clinic/Center in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.