UROLOGIC AMBULATORY SURGERY CENTER LLC NPI 1154867562

NPI Information

  • NPI: 1154867562
  • Provider Name: UROLOGIC AMBULATORY SURGERY CENTER, LLC
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • CLIA Number: 25D2136876
  • Address: 499 GLOSTER CREEK VLG STE B8
    TUPELO, MS
    ZIP 38801
  • Phone: (662) 432-0700

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NPI Details

UROLOGIC AMBULATORY SURGERY CENTER, LLC is an ambulatory surgical clinic center in Tupelo, MS. UROLOGIC AMBULATORY SURGERY CENTER, LLC NPI is 1154867562. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

499 GLOSTER CREEK VLG STE B8
TUPELO, MS
ZIP 38801-633
Phone: (662) 432-0700
Fax: (662) 846-0566

The provider's authorized official is Deonne Henry .
The authorized official title is Director Of Operations and has the following contact phone number (662) 432-0700.

The CLIA number assigned to this NPI record is 25D2136876 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Ultrasound scan of pelvic region through rectum (HCPCS:76872)
  • Biopsy of prostate gland (HCPCS:55700)
  • Diagnostic exam of bladder and urethra using an endoscope (HCPCS:52000)
  • Insertion of sacral nerve neurostimulator electrode array (HCPCS:64561)
  • Cystourethroscopy, with insertion of transprostatic implant; 4 or more implants (HCPCS:C9740)
  • Destruction of tissue of bladder, urethra, or surrounding glands using an endoscope (HCPCS:52214)
  • Insertion of peripheral or gastric neurostimulator generator (HCPCS:64590)
  • Insertion of stent in ureter using an endoscope (HCPCS:52332)
  • Injection of implant material beneath lining of bladder and/or urethra using an endoscope (HCPCS:51715)
  • Biopsy of bladder using an endoscope (HCPCS:52204)
  • Imaging of urinary tract following injection of a contrast agent (HCPCS:74420)

The enumeration date for this NPI number is 1/9/2017 and was last updated on 10/24/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208800000XUrologyNo
2261QA1903XClinic/CenterAmbulatory SurgicalYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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