LOWERY A. WOODALL OUTPATIENT SURGERY FACILITY LLC NPI 1922011501

NPI Information

  • NPI: 1922011501
  • Provider Name: LOWERY A. WOODALL OUTPATIENT SURGERY FACILITY, LLC
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • Address: 1 LINCOLN PKWY STE 100
    HATTIESBURG, MS
    ZIP 39402
  • Phone: (601) 579-3406

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NPI Details

LOWERY A. WOODALL OUTPATIENT SURGERY FACILITY, LLC is an ambulatory surgical clinic center in Hattiesburg, MS. LOWERY A. WOODALL OUTPATIENT SURGERY FACILITY, LLC NPI is 1922011501. The provider is registered as an organization entity type.

The provider's business location address is:

1 LINCOLN PKWY STE 100
HATTIESBURG, MS
ZIP 39402-261
Phone: (601) 579-3406
Fax: (601) 264-0853

The provider's authorized official is Bryan Batson .
The authorized official title is Executive Director and has the following contact phone number (601) 264-6000.

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.

  • Removal of cataract with insertion of prosthetic lens (HCPCS:66984)
  • Release and/or relocation of hand nerve (HCPCS:64721)
  • Incision of tendon covering of finger (HCPCS:26055)
  • Insertion of central venous tube with port (5 years or older) (HCPCS:36561)
  • Complex removal of cataract with insertion of prosthetic lens (HCPCS:66982)
  • Removal of cancer skin growth of body, arms, or legs, more than 4.0 cm (HCPCS:11606)
  • Removal of excessive skin and fat of upper eyelid (HCPCS:15823)
  • Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm (HCPCS:11642)
  • Full thickness skin graft to nose, ears, eyelids, or lips, 20.0 sq cm or less (HCPCS:15260)
  • Removal of nasal air passage under lining tissue (HCPCS:30140)
  • Full thickness skin graft to scalp, arms, or legs, 20.0 sq cm or less (HCPCS:15220)
  • Incision of eardrum with placement of eardrum tube under general anesthesia (HCPCS:69436)
  • Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye (HCPCS:66991)
  • Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 3.1-4.0 cm (HCPCS:11644)
  • Removal of gallbladder with x-ray study of bile ducts using an endoscope (HCPCS:47563)
  • Reshaping of nasal cartilage (HCPCS:30520)
  • Biopsy of lining of uterus and/or removal of polyp using an endoscope (HCPCS:58558)
  • Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, more than 4.0 cm (HCPCS:11646)
  • Full thickness skin graft to forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 20.0 sq cm or less (HCPCS:15240)
  • Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 2.1-3.0 cm (HCPCS:11643)
  • Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, more than 4.0 cm (HCPCS:11626)
  • Removal of both knee cartilages using an endoscope (HCPCS:29880)
  • Removal of knee cartilage using an endoscope (HCPCS:29881)
  • Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less (HCPCS:14060)
  • Repair of groin hernia (5 years or older) (HCPCS:49505)
  • Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm (HCPCS:13132)

The enumeration date for this NPI number is 8/14/2006 and was last updated on 5/6/2024.

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
1261QA1903XClinic/CenterAmbulatory Surgical005MISSISSIPPIYes

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
10077924MEDICAIDMISSISSIPPI

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: 3/30/2025

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