Southern Urology LLC

Primary specialty

Urology PhysicianTaxonomy code 208800000X

Legal business name

SOUTHERN UROLOGY LLC

Practice address

1325 Wright Ave Ste J
Crowley, LA 70526-2226

Phone

(337) 307-4062

NPI assigned

Nov 10, 2022

Last updated

Sep 18, 2026By the provider in NPPES

Organization subpart

Yes

Parent organization

SOUTHERN UROLOGY LLCAs reported in NPPES

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

Authorized official

Name

Mark Robert Eldredge

Title

Authorized Official

Phone

(337) 769-7779

Specialties & licenses 1

Addresses

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

CLIA laboratory certificates

Tax ID family

Southern Urology LLC5 organizations share this tax ID, including this one

Part of

Southern Urology LLC

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

• Southern Urology LLC

  • Urology Physician
  • New Iberia, LA
  • NPI 1104534965
  NPD tax ID
• Southern Urology LLC

  • Urology Physician
  • Abbeville, LA
  • NPI 1235846841
  NPD tax ID
• Southern Urology LLC

  dba Southern Urology LaHaye

  • Urology Physician
  • Ville Platte, LA
  • NPI 1346471174
  NPD tax ID
• Southern Urology LLC

  • Urology Physician
  • Opelousas, LA
  • NPI 1386352151
  NPD tax ID

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

{
    "created_epoch": "1668038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789689600000",
    "number": "1407564263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1325 WRIGHT AVE STE J",
            "city": "CROWLEY",
            "state": "LA",
            "postal_code": "705262226",
            "telephone_number": "337-307-4062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 WRIGHT AVE STE J",
            "city": "CROWLEY",
            "state": "LA",
            "postal_code": "705262226",
            "telephone_number": "337-307-4062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN UROLOGY LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SOUTHERN UROLOGY LLC",
        "enumeration_date": "2022-11-10",
        "last_updated": "2026-09-18",
        "certification_date": "2026-09-18",
        "status": "A",
        "authorized_official_last_name": "ELDREDGE",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "337-769-7779"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marcia Smith, PMHNP-BC
• Anita Louise Solet, ARNP
• Source Chiropractic LLC
• Southern Pharmacy Services (Medicine Shoppe)
• Southern Regional Healthcare Group, LLC
• Southwest Ambulatory Behavioral Services, Inc. (Sabs)
• Southwest Louisiana Renal Services LLC
• Spine, Sports, & Rehab Chiropractic Care
• Kirsten Steen
• Lillian Michelle Stephens Castille

• Urology Physician in Crowley, LA
• Providers in Crowley, LA by specialty
• Urology Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.