SOUTHEASTERN UROGYNECOLOGY & PELVIC SURGERY LLC – NPI #1174154421
Obstetrics & Gynecology

A subspecialist in Female Pelvic Medicine and Reconstructive Surgery is a physician in Urology or Obstetrics and Gynecology who, by virtue of education and training, is prepared to provide consultation and comprehensive management of women with complex benign pelvic conditions, lower urinary tract disorders, and pelvic floor dysfunction. Comprehensive management includes those diagnostic and therapeutic procedures necessary for the total care of the patient with these conditions and complications resulting from them.

Health Care Provider Taxonomy Code for Obstetrics & Gynecology

SOUTHEASTERN UROGYNECOLOGY & PELVIC SURGERY LLC is a provider located in MOULTRIE, GA. NPPES has assigned the NPI number 1174154421 to SOUTHEASTERN UROGYNECOLOGY & PELVIC SURGERY LLC on January 27, 2020. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207VF0040X from the Health Care Provider Taxonomy code set, which is classified as Obstetrics & Gynecology, specializing in Female Pelvic Medicine and Reconstructive Surgery

The NPI profile was last updated on Sep 04, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SOUTHEASTERN UROGYNECOLOGY & PELVIC SURGERY LLC below.

NPI Profile for
SOUTHEASTERN UROGYNECOLOGY & PELVIC SURGERY LLC

NPI Number
1174154421
Enumeration Date

(more than 6 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
SOUTHEASTERN UROGYNECOLOGY & PELVIC SURGERY LLC
Primary location
115 31ST AVE SE
MOULTRIE, GA 31768-6771
Phone: (229) 502-9788 Fax: (229) 890-1266
1 Other location(s):
1963 Village Green Way
Tallahassee, FL 32308-3833
Phone: (229) 502-9788
Mailing address
PO BOX 2876
MOULTRIE, GA 31776-2876
Phone: (229) 502-9788 Fax: (229) 217-4910
Organization Subpart
No
Authorized Official
JAMES MATNEY
CEO
Phone: (229) 985-3420
Updated
Certification Date
Sep 04, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207VF0040X
- Obstetrics & Gynecology / Female Pelvic Medicine and Reconstructive Surgery (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.