Urology Professional Association
NPI 1508886805ActiveOrganization· Urology· Tupelo, MS
Urology in Tupelo, Mississippi, registered in NPPES in July 2006. The authorized official on file is Gary Kyle Fallin, Ceo. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1508886805 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 20, 2006 |
| Last updated in NPPES | Jul 10, 2025 |
| Certified by provider | Jul 10, 2025 |
| Reactivated | Sep 21, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Urology Primary | 208800000X | — | MS |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (MS) |
|---|
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