Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Southeast Urogyn LLC

Organization Obstetrics & Gynecology Physician · NPI 1548513617

Southeast Urogyn LLC is an Obstetrics & Gynecology Physician in Jackson, Mississippi. Registered with an NPI since 2012.

In the registry since
2012
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

501 Marshall St Ste 600
Jackson, MS 39202-1651
Phone: (601) 948-6540
Fax: (601) 326-1501
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician (primary) Taxonomy 207VF0040X
Obstetrics & Gynecology Physician Taxonomy 207V00000X

Record details

NPI number1548513617
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Julie Ferguson — Administrator · (601) 948-6540
NPI enumeratedOctober 26, 2012
Last updated in NPPESJanuary 20, 2016
Mailing address501 Marshall St, Suite 600, Jackson, MS 39202-1651

Other providers in Jackson