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

Tupelo Urology Center

Organization Ambulatory Surgical Clinic/Center · NPI 1205684776

Tupelo Urology Center is an Ambulatory Surgical Clinic/Center in Tupelo, Mississippi. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

2089 Southridge Dr Ste B
Tupelo, MS 38801-6478
Phone: (662) 234-1448
Show map & directions

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

Specialties & licences

Ambulatory Surgical Clinic/Center (primary) Taxonomy 261QA1903X

Record details

NPI number1205684776
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Amanda Gardner — Administrator · (662) 816-3791
NPI enumeratedMay 9, 2024
Last updated in NPPESMay 9, 2024
Certification dateMay 9, 2024
Mailing addressPo Box 1013, Oxford, MS 38655-1013

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