Southeast Urogynecology PA

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

Legal business name

SOUTHEAST UROGYNECOLOGY PA

Practice address

501 Marshall St
Suite 607-a
Jackson, MS 39202-1651

Phone

(601) 948-6540

NPI assigned

Dec 8, 2009

Organization subpart

Yes

Parent organization

WOMEN'S SPECIALTY CENTER LLCAs reported in NPPES

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

Authorized official

Name

Dr. Robert L Harris, M.D.

Title

Director

Phone

(601) 948-6540

Specialties & licenses 2

Addresses

Part of

Women'S Specialty Center LLC

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Women'S Specialty Center, LLC

  • Gynecology Physician
  • Jackson, MS
  • NPI 1336193481
  NPPES parent name

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

{
    "created_epoch": "1260230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266451200000",
    "number": "1992034771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 MARSHALL ST",
            "address_2": "SUITE 600",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392021651",
            "telephone_number": "601-948-6540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 MARSHALL ST",
            "address_2": "SUITE 607-A",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392021651",
            "telephone_number": "601-948-6540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEAST UROGYNECOLOGY PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WOMEN'S SPECIALTY CENTER LLC",
        "enumeration_date": "2009-12-08",
        "last_updated": "2010-02-18",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "601-948-6540",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208800000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Louise Sorey, M.S.,CCC-SLP
• Tina Renee Sorey, O.D.
• South Central Community Action Agency, Inc
• South Jackson Family Dental, PLLC
• Southeast Urogyn LLC
• Southern Christian Services for Children and Youth, Inc.
• Southern Counseling Center
• Southern Home Care Services, Inc.
• Southern Medical Equipment,LLC
• Southern Nutrition Services, LLC

• Gynecology Physician in Jackson, MS
• Providers in Jackson, MS by specialty
• Gynecology Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2010; 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.