UROLOGY PROFESSIONAL ASSOC NPI 1508886805

NPI Information

  • NPI: 1508886805
  • Provider Name: UROLOGY PROFESSIONAL ASSOC
  • Classification: Urology - 208800000X
  • Entity Type: Organization
  • CLIA Number: 25D0316976
  • Address: 499 GLOSTER CREEK VILLAGE
    SUITE A1
    TUPELO, MS
    ZIP 38801
  • Phone: (662) 377-7118

Map and Directions

Get Directions

NPI Details

UROLOGY PROFESSIONAL ASSOC is an urology in Tupelo, MS. The provider is 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. UROLOGY PROFESSIONAL ASSOC NPI is 1508886805. 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 VILLAGE
SUITE A1
TUPELO, MS
ZIP 38801-600
Phone: (662) 377-7118
Fax: (662) 377-7115

The provider's authorized official is Amy Hamilton .
The authorized official title is Business Manager and has the following contact phone number (662) 432-0700.

The CLIA number assigned to this NPI record is 25D0316976 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 7/20/2006 and was last updated on 11/20/2020.

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
1208800000XUrologyMISSISSIPPIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
109011122MEDICAIDMISSISSIPPI

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

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI