Greenville Urology Group LLC

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

18690 Issued in MS

Legal business name

GREENVILLE UROLOGY GROUP LLC

Practice address

344 Arnold Ave
Greenville, MS 38701-4711

Phone

(662) 334-8564

Fax

(662) 334-8539

NPI assigned

May 23, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Francis J Daly II, MD

Title

Owner

Phone

(662) 334-9829

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1912117698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "344 ARNOLD AVE",
            "city": "GREENVILLE",
            "state": "MS",
            "postal_code": "387014711",
            "telephone_number": "662-334-8564",
            "fax_number": "662-334-8539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "344 ARNOLD AVE",
            "city": "GREENVILLE",
            "state": "MS",
            "postal_code": "387014711",
            "telephone_number": "662-334-8564",
            "fax_number": "662-334-8539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENVILLE UROLOGY GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DALY",
        "authorized_official_first_name": "FRANCIS",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "662-334-9829",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "MS",
            "license": "18690",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DD4966",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01926301",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Greenville Neurology Center, LLC
• Greenville Primary Care II
• Greenville Radiology, Inc
• Greenville Specialty Clinic
• Greenville Surgical Clinic
• Jalisa R Greer, M.S.,CCC-SLP
• Gail L Griffin
• Mary Lord Griffin, O.D.
• Brandi Dawn Grothman
• Steve Edward Grubb, L.A.T.

• Urology Physician in Greenville, MS
• Providers in Greenville, MS by specialty
• Urology Physician 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.