OrganizationActive
General Surgery of Southaven LLC
NPI 1164535415 · Surgery Physician · Southaven, MS
General Surgery of Southaven LLC is a Surgery Physician organization in Southaven, MS (NPI 1164535415).
Provider details
- NPI number
- 1164535415
- Entity type
- Organization
- Primary specialty
- Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Daniel Fore, Owner(662) 536-1944
Specialties & taxonomies
Allopathic & Osteopathic Physicians
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
401 Southcrest Cir
Suite 210
Southaven, MS 38671-6726
Phone: (662) 536-1944
Fax: (662) 536-1947
Street-level locationGet directions
Mailing address
401 Southcrest Cir
Southaven, MS 38671-6726
Registry dates
- Enumerated
- 2006-08-17
- Last updated
- 2016-03-24
Frequently asked questions
- What is General Surgery of Southaven LLC's NPI number?
- General Surgery of Southaven LLC's National Provider Identifier (NPI) is 1164535415, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is General Surgery of Southaven LLC?
- General Surgery of Southaven LLC is classified in the NPPES registry as Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is General Surgery of Southaven LLC located?
- General Surgery of Southaven LLC's practice location on file with NPPES is 401 Southcrest Cir, Southaven, MS 38671-6726.
- What is General Surgery of Southaven LLC's phone number?
- The practice phone number listed in the NPPES registry for General Surgery of Southaven LLC is (662) 536-1944.
- Who is the authorized official for General Surgery of Southaven LLC?
- The authorized official listed on General Surgery of Southaven LLC's NPPES record is Daniel Fore, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is General Surgery of Southaven LLC's NPI active?
- Yes — General Surgery of Southaven LLC's NPI (1164535415) is active in the NPPES registry as of the last update on 2016-03-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.