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Urology Group PC

NPI 1093973836ActiveOrganization· Urology· Southaven, MS

Urology in Southaven, Mississippi, registered in NPPES in May 2008. The authorized official on file is Deborah A. Eddlestone, Consultant. Enrolled in Medicare as part b supplier - clinic/group practice.

Overview

NPI1093973836
StatusActive
Entity typeOrganization
NPI issuedMay 29, 2008
Last updated in NPPESAug 29, 2018

Specialties and licenses

TaxonomyCodeLicenseState
Urology Primary208800000X—MS

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Part B Supplier - Clinic/Group Practice (MS)

Medicare sources and data years

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