Lowery a. Woodall Outpatient Surgery Facility, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

005 Issued in MS

Legal business name

LOWERY A. WOODALL OUTPATIENT SURGERY FACILITY, LLC

Practice address

1 Lincoln Pkwy Ste 100
Hattiesburg, MS 39402-3261

Phone

(601) 579-3406

Fax

(601) 264-0853

NPI assigned

Aug 14, 2006

Organization subpart

No

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

Authorized official

Name

Bryan Batson, MDNPI 1104840958

Title

Executive Director

Phone

(601) 264-6000

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

Listed as

Lowery a Woodall Outpatient Surgery Facility LLCCCN 25C0001004

Medicare certification status

ActiveFrom the Provider of Services file

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

CLIA laboratory certificates

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Hattiesburg Clinic PA

  • Physical Therapist
  • Petal, MS
  • NPI 1962599282

  Member Of

  NPD member

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bryan N Batson, MD

  • Hypertension Specialist Physician
  • Hattiesburg, MS
  • NPI 1104840958
  NPD Authorized official
• Petra R Schneider-Redden, MD

  • Plastic and Reconstructive Surgery Physician
  • Hattiesburg, MS
  • NPI 1063521607
  NPD (past)

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714953600000",
    "number": "1922011501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 LINCOLN PKWY STE 100",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394023261",
            "telephone_number": "601-579-3406",
            "fax_number": "601-264-0853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 LINCOLN PKWY STE 100",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394023261",
            "telephone_number": "601-579-3406",
            "fax_number": "601-264-0853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOWERY A. WOODALL OUTPATIENT SURGERY FACILITY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-14",
        "last_updated": "2024-05-06",
        "certification_date": "2024-05-06",
        "status": "A",
        "authorized_official_last_name": "BATSON",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "601-264-6000",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "MS",
            "license": "005",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0077924",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Megan Sumrall Lott, O.D.
• Meossiha Lott
• John R Lovejoy, M.D.
• Darrell E Lovins, D.O., M.P.H.
• Terry R Lowe, MD
• Michael W Lowry, M.D.
• Alan D Lucas, D.M.D.
• Melinda G Lucas, D.M.D.
• Meredith Gray Lucas, DMD
• Gilbert Lynn Luckel Jr., AG-ACNP

• All providers in Hattiesburg, MS
• Ambulatory Surgical Clinic/Center in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.