Southeast Urogyn LLC
NPI 1548513617 · Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician · Jackson, MS
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Southeast Urogyn LLC is a Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician organization in Jackson, MS (NPI 1548513617).
Provider details
- NPI number
- 1548513617
- Entity type
- Organization
- Primary specialty
- Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Julie Ferguson, Administrator(601) 948-6540
Specialties & taxonomies
- Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) PhysicianPrimary207VF0040X
Allopathic & Osteopathic Physicians
- Obstetrics & Gynecology Physician207V00000X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 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
- 2012-10-26
- Last updated
- 2016-01-20
Frequently asked questions
- What is Southeast Urogyn LLC's NPI number?
- Southeast Urogyn LLC's National Provider Identifier (NPI) is 1548513617, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southeast Urogyn LLC?
- Southeast Urogyn LLC is classified in the NPPES registry as Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician (Allopathic & Osteopathic Physicians).
- Where is Southeast Urogyn LLC located?
- Southeast Urogyn LLC's practice location on file with NPPES is 501 Marshall St, Jackson, MS 39202-1651.
- What is Southeast Urogyn LLC's phone number?
- The practice phone number listed in the NPPES registry for Southeast Urogyn LLC is (601) 948-6540.
- Does Southeast Urogyn LLC accept Medicare?
- Southeast Urogyn 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 Southeast Urogyn LLC?
- The authorized official listed on Southeast Urogyn LLC's NPPES record is Julie Ferguson, Administrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Southeast Urogyn LLC's NPI active?
- Yes — Southeast Urogyn LLC's NPI (1548513617) is active in the NPPES registry as of the last update on 2016-01-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.