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Southern Neurologic & Spinal Institute

Specialist in Hattiesburg, MS · enumerated 2006 · authorized official Shelley Gendusa, Administrator.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1336240969

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Registry record

Entity type Organization (Type 2)
Legal business name Southern Neurologic & Spinal Institute
Practice address 1 Lincoln Pkwy, Ste 300, Hattiesburg, MS, 39402
Fax (601) 579-4460
Enumeration date Sep 26, 2006
Last updated in NPPES Apr 7, 2008

Taxonomy & classification

174400000X Specialist Other Service Providers Primary

Authorized official

Name Shelley Gendusa
Title Administrator

Other identifiers

Identifier Type State Issuer
09016031 Medicaid MS -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Southern Neurologic & Spinal Institute?
NPPES lists Shelley Gendusa (Administrator) as the authorized official for this organization.
What is the NPI number for Southern Neurologic & Spinal Institute?
The NPI for Southern Neurologic & Spinal Institute is 1336240969, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2008-04-07.