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Southern Urology Associates LLC

Urology Physician in Gulfport, MS · enumerated 2006 · authorized official Robert Lageese, Vp.

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

National Provider Identifier

1619919917

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Registry record

Entity type Organization (Type 2)
Legal business name Southern Urology Associates LLC
Other name <Unavail>
Practice address 15190 Community Rd, Suite 260, Gulfport, MS, 39503
Fax (228) 539-0722
Enumeration date Jun 12, 2006
Last updated in NPPES Jun 21, 2018

Taxonomy & classification

208800000X Urology Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Robert Lageese
Title Vp

Other identifiers

Identifier Type State Issuer
1275576 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

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2018-06-21. Verify at npiregistry.cms.hhs.gov.
Where is Southern Urology Associates LLC located?
The practice location on file with NPPES is in Gulfport, MS.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2018-06-21.