Active NPI
Deborah Tarpley Azar, M. D.
- Specialist
- Hattiesburg, MS
National Provider Identifier
1851471270
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 16353
- Practice address
- 139 Fairfield Dr
Hattiesburg, MS 39402-1303 - Phone
- (601) 450-2401
- Fax
- (601) 450-2434
- NPI assigned
- Oct 17, 2006
- Last updated
- Sep 27, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 16353 | MS | Primary |
Addresses
Primary practice location
139 Fairfield Dr
Hattiesburg, MS 39402-1303
Mailing address
139 Fairfield Dr
Hattiesburg, MS 39402-1303
Phone (601) 450-2401
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5272990001 | Other | MS | CIGNA DURABLE MEDICAL EQUIPMENT |
| 00121572 | Medicaid | MS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Urology
- Education
- Louisiana State University School of Medicine in Shreveport, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
139 Fairfield Dr
Hattiesburg, MS 39402-1303
Phone (601) 450-2401
Hospital & facility affiliations
- Forrest General Home Care
- Merit Health Wesley
- Forrest General Hospital
- South Central Reg Med Ctr
- Walthall County General Hospital Cah
- Covington County Hospital Cah
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Prostate resection | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16353 | MS | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern Urology, P. a. | Specialist | Current | Accepting new patients |
| Southern Surgical Associates, P. a. | Specialist | Past | Accepting new patients |
Locations
139 Fairfield Dr
Hattiesburg, MS 39402
Phone (601) 450-2401
39 Franklin Rd
Ste 220
Hattiesburg, MS 39402
Phone (601) 296-3050
Interoperability endpoints
- southernsurgicalassociatespa.deborahazar@150945.advancedmd-direct.com
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Specialist
- Hattiesburg, MS
- NPI 1316065436
-
- Ambulatory Surgical Clinic/Center
- Hattiesburg, MS
- NPI 1578898276
-
- Specialist
- Hattiesburg, MS
- NPI 1265551162
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Collins, MS
- NPI 1215965249
-
- General Acute Care Hospital
- Hattiesburg, MS
- NPI 1225041809
-
- Home Health Agency
- Hattiesburg, MS
- NPI 1336256700
-
- General Acute Care Hospital
- Laurel, MS
- NPI 1619973542
-
- Critical Access Hospital
- Tylertown, MS
- NPI 1023326485
-
dba Walthall Rural Health Clinic
- Critical Access Hospital
- Tylertown, MS
- NPI 1255649604
-
dba Merit Health Wesley
- General Acute Care Hospital
- Hattiesburg, MS
- NPI 1841241841
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1474934400000",
"number": "1851471270",
"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": "601-450-2434"
},
{
"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": "601-450-2401",
"fax_number": "601-450-2434"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AZAR",
"first_name": "DEBORAH",
"middle_name": "TARPLEY",
"name_prefix": "Dr.",
"credential": "M. D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-17",
"last_updated": "2016-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "MS",
"license": "16353",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA DURABLE MEDICAL EQUIPMENT",
"identifier": "5272990001",
"state": "MS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00121572",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hattiesburg, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.