Active NPI
Southeast Urology Network
- Specialist
- Holly Springs, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- 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
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
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
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | Primary |
Addresses
Primary practice location
538 J M Ash Dr
Holly Springs, MS 38635-3238
Mailing address
PO Box 756
Memphis, TN 38101-0756
Phone (901) 527-7100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20051102000835 | MS | Part B Supplier - Clinic/Group Practice | 3779501390 |
Receives reassigned benefits from 4 practitioners 1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Southaven, MS |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Urology Physician
- Memphis, TN
- NPI 1295840510
NPI Registry JSON
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": []
}Other providers in Holly Springs, MS
Sources for this page
- 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.