Southern Urology, P. a.

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

SOUTHERN UROLOGY, P. A.

Practice address

139 Fairfield Dr
Hattiesburg, MS 39402-1303

Phone

(601) 450-2417

Fax

(601) 450-2410

NPI assigned

Mar 27, 2007

Last updated

Feb 15, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Deborah T Azar, M.D.NPI 1851471270

Title

President

Phone

(601) 450-2401

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Deborah Tarpley Azar, M. D.

  • Specialist
  • Hattiesburg, MS
  • NPI 1851471270
  Medicare reassignment Care Compare group NPD Authorized official
• Hal T Liddell, M.D.

  • Urology Physician
  • Hattiesburg, MS
  • NPI 1023032497
  Medicare reassignment Care Compare group NPD
• Charles Robert Moore, MD

  • Urology Physician
  • Hattiesburg, MS
  • NPI 1801058821
  Medicare reassignment Care Compare group NPD
• Hope V Pittman, FNP

  • Family Nurse Practitioner
  • Petal, MS
  • NPI 1861087215
  Medicare reassignment Care Compare group NPD
• Nathan P Shappley, M.D.

  • Urology Physician
  • Hattiesburg, MS
  • NPI 1164446522
  Medicare reassignment NPD

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297728000000",
    "number": "1316065436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "139 FAIRFIELD DR",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394021303",
            "telephone_number": "601-450-2401",
            "fax_number": "601-450-2410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 FAIRFIELD DR",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394021303",
            "telephone_number": "601-450-2417",
            "fax_number": "601-450-2410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN UROLOGY, P. A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2011-02-15",
        "status": "A",
        "authorized_official_last_name": "AZAR",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "601-450-2401",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05137554",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Southern Surgery Center, LLC
• Southern Surgery Wound Care Clinic PLLC
• Southern Surgical Associates, P. a.
• Southern Surgical Associates, P. a.
• Southern Urology Surgery Center, LLC
• Southern Women's Health, PLLC (Women's Pavilion of South Mississippi)
• Southern Women's Health, PLLC (Women's Pavilion of South Mississippi)
• Southern Women's Health, PLLC (Women's Pavilion of South Mississippi)
• Southern Women's Health, PLLC (Women's Pavilion of South Mississippi)
• Austin Norris Southern, MD

• Specialist in Hattiesburg, MS
• Providers in Hattiesburg, MS by specialty
• Specialist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.