SOUTHERN SURGERY SPECIALISTS LLC NPI 1801991849

NPI Information

  • NPI: 1801991849
  • Provider Name: SOUTHERN SURGERY SPECIALISTS, LLC
  • Classification: Surgery - 208600000X
  • Entity Type: Organization
  • Address: 408 JACKSON AVE E
    HAMPTON, SC
    ZIP 29924
  • Phone: (803) 943-4003

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NPI Details

SOUTHERN SURGERY SPECIALISTS, LLC is a surgery in Hampton, SC. The provider is a general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. SOUTHERN SURGERY SPECIALISTS, LLC NPI is 1801991849. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

408 JACKSON AVE E
HAMPTON, SC
ZIP 29924
Phone: (803) 943-4003
Fax: (803) 943-4701

The provider's authorized official is Carlos E Montenegro .
The authorized official title is President and has the following contact phone number (803) 943-4003.

The enumeration date for this NPI number is 9/14/2006 and was last updated on 11/7/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208600000XSurgery23479SOUTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1234794MEDICAIDSOUTH CAROLINA
2H17098MEDICARE UPIN
3H17098MEDICARE UPINSOUTH CAROLINA
41588613103OTHERPROVIDER NPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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