SOUTHERN UROLOGY LLC – NPI #1235846841
Urology

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

SOUTHERN UROLOGY LLC is an urologist located in ABBEVILLE, LA. NPPES has assigned the NPI number 1235846841 to SOUTHERN UROLOGY LLC on November 02, 2022. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 208800000X from the Health Care Provider Taxonomy code set, which is classified as Urology.

The NPI profile was previously updated about 4 years ago on Nov 21, 2022. 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 SOUTHERN UROLOGY LLC below.

NPI Profile for
SOUTHERN UROLOGY LLC

NPI Number
1235846841
Enumeration Date

(more than 3 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
SOUTHERN UROLOGY LLC
Primary location
118 N HOSPITAL DR
ABBEVILLE, LA 70510-4039
Phone: (337) 893-5466 Fax:
Mailing address
Same as primary location
Organization Subpart
Yes - SOUTHERN UROLOGY LLC is subpart of another organization.
Authorized Official
MARK ELDREDGE
AO
Phone: (337) 769-7779
Updated
Certification Date
Nov 21, 2022

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
208800000X
- Urology (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.