Southern Urology LLC
NPI 1104534965 · Urology Physician · New Iberia, LA
Enrolled with Medicare as Dme Supplier - Physician - Urology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Southern Urology LLC is a Urology Physician organization in New Iberia, LA (NPI 1104534965).
Provider details
- NPI number
- 1104534965
- Entity type
- Organization
- Primary specialty
- Urology PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Southern Urology LLC
- Organization subpart
- Yes
- Authorized official
- Mark Eldredge, Ao(337) 769-7779
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2022-11-10
- Last updated
- 2024-04-02
- Certified
- 2024-04-02
Frequently asked questions
- What is Southern Urology LLC's NPI number?
- Southern Urology LLC's National Provider Identifier (NPI) is 1104534965, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southern Urology LLC?
- Southern Urology LLC is classified in the NPPES registry as Urology Physician (Allopathic & Osteopathic Physicians).
- Where is Southern Urology LLC located?
- Southern Urology LLC's practice location on file with NPPES is 2308 E Main St Ste a, New Iberia, LA 70560-4029.
- What is Southern Urology LLC's phone number?
- The practice phone number listed in the NPPES registry for Southern Urology LLC is (337) 408-8676.
- Does Southern Urology LLC accept Medicare?
- Southern Urology LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Southern Urology LLC?
- The authorized official listed on Southern Urology LLC's NPPES record is Mark Eldredge, Ao. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Southern Urology LLC's NPI active?
- Yes — Southern Urology LLC's NPI (1104534965) is active in the NPPES registry as of the last update on 2024-04-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.