OrganizationActive
Tylertown Surgical Associates
NPI 1114030129 · Clinic/Center · Tylertown, MS
Tylertown Surgical Associates is a Clinic/Center organization in Tylertown, MS (NPI 1114030129).
Provider details
- NPI number
- 1114030129
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Posavanike Ganaraj, President(601) 876-4961
- License
- 07415 (MS)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
250 Hospital Dr
Tylertown, MS 39667-2020
Phone: (601) 876-4961
Fax: (601) 876-9172
Approximate (ZIP-level) locationGet directions
Mailing address
250 Hospital Dr
Tylertown, MS 39667-2020
Registry dates
- Enumerated
- 2006-08-16
- Last updated
- 2020-08-22
Frequently asked questions
- What is Tylertown Surgical Associates's NPI number?
- Tylertown Surgical Associates's National Provider Identifier (NPI) is 1114030129, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Tylertown Surgical Associates?
- Tylertown Surgical Associates is classified in the NPPES registry as Clinic/Center (Ambulatory Health Care Facilities).
- Where is Tylertown Surgical Associates located?
- Tylertown Surgical Associates's practice location on file with NPPES is 250 Hospital Dr, Tylertown, MS 39667-2020.
- What is Tylertown Surgical Associates's phone number?
- The practice phone number listed in the NPPES registry for Tylertown Surgical Associates is (601) 876-4961.
- Who is the authorized official for Tylertown Surgical Associates?
- The authorized official listed on Tylertown Surgical Associates's NPPES record is Posavanike Ganaraj, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Tylertown Surgical Associates's NPI active?
- Yes — Tylertown Surgical Associates's NPI (1114030129) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.