Southeast Urology Network

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

SOUTHEAST UROLOGY NETWORK

Practice address

538 J M Ash Dr
Holly Springs, MS 38635-3238

Phone

(662) 349-2220

Fax

(662) 349-4414

NPI assigned

Feb 12, 2007

Organization subpart

No

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

Authorized official

Name

Alan Michael Alabaster, M.D.

Title

President

Phone

(901) 527-7100

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Southeast Urology Network PC

  • Specialist
  • Southaven, MS
  • NPI 1376699546

  O20051102000835

  Same enrollment

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1801938634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 756",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381010756",
            "telephone_number": "901-527-7100",
            "fax_number": "901-527-7124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "538 J M ASH DR",
            "city": "HOLLY SPRINGS",
            "state": "MS",
            "postal_code": "386353238",
            "telephone_number": "662-349-2220",
            "fax_number": "662-349-4414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEAST UROLOGY NETWORK",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ALABASTER",
        "authorized_official_first_name": "ALAN",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "901-527-7100",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Landon D Scales, PHARMD
• Brittanie Jean Settlemires, NP
• Tracey Nicole Skelton, FNP-C
• Stephanie Mari Smith, MSN, FNP-C
• Terri Lynn Smithwick, R.N.
• Gregory Thomas Stallworth, M.D.
• Jill McCallum Stephens, RPH
• Margaret Stinnett, D.M.D.
• Candice Stinson, BA
• Stubbs Chiropractic

• Specialist in Holly Springs, MS
• Providers in Holly Springs, MS by specialty
• Specialist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.