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

Southern Urology Associates LLC

Organization Urology Physician · NPI 1619919917

Southern Urology Associates LLC is an Urology Physician in Gulfport, Mississippi. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

15190 Community Rd Ste 260
Gulfport, MS 39503-3485
Phone: (228) 539-0071
Fax: (228) 539-0722
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Urology Physician (primary) Taxonomy 208800000X

Record details

NPI number1619919917
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Robert Lageese — Vp · (504) 988-7044
Other names Southern Urology Associates
NPI enumeratedJune 12, 2006
Last updated in NPPESJune 21, 2018
Mailing address15190 Community Rd, Suite 260, Gulfport, MS 39503-3485

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