SOUTHERN SURGERY CENTER LLC NPI 1912906157

NPI Information

  • NPI: 1912906157
  • Provider Name: SOUTHERN SURGERY CENTER, LLC
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • Address: 3688 VETERANS MEMORIAL DR
    SUITE 100
    HATTIESBURG, MS
    ZIP 39401
  • Phone: (601) 554-7525

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NPI Details

SOUTHERN SURGERY CENTER, LLC is an ambulatory surgical clinic center in Hattiesburg, MS. SOUTHERN SURGERY CENTER, LLC NPI is 1912906157. The provider is registered as an organization entity type.

The provider's business location address is:

3688 VETERANS MEMORIAL DR
SUITE 100
HATTIESBURG, MS
ZIP 39401-246
Phone: (601) 554-7525
Fax: (601) 554-7574

The provider's authorized official is David M. Burckel .
The authorized official title is Ceo and has the following contact phone number (601) 554-7525.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Injection, bupivacaine liposome, 1 mg (HCPCS:C9290)
  • Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level (HCPCS:64483)
  • Injection of lower or sacral spine facet joint using imaging guidance, single level (HCPCS:64493)
  • Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint (HCPCS:64635)
  • Injection of substance into lower spine canal using imaging guidance (HCPCS:62323)
  • Injection of substance into middle or upper spine canal using imaging guidance (HCPCS:62321)
  • Injection of upper or middle spine facet joint using imaging guidance, single level (HCPCS:64490)
  • Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography (HCPCS:G0260)
  • Release and/or relocation of hand nerve (HCPCS:64721)
  • Replacement of knee joint, both sides of knee (HCPCS:27447)
  • Insertion of spinal neurostimulator electrode array through skin (HCPCS:63650)
  • Incision of tendon covering of finger (HCPCS:26055)
  • Destruction of upper or middle spinal facet joint nerves using imaging guidance, single facet joint (HCPCS:64633)
  • Removal of knee cartilage using an endoscope (HCPCS:29881)
  • Insertion of spinal neurostimulator generator or receiver (HCPCS:63685)
  • Injection of anesthetic agent and/or steroid into other nerve or branch (HCPCS:64450)
  • Removal of spine bone for insertion of neurostimulator electrode plate in spine (HCPCS:63655)
  • Repair of shoulder rotator cuff using an endoscope (HCPCS:29827)
  • Removal of both knee cartilages using an endoscope (HCPCS:29880)
  • Correction of toe joint deformity (HCPCS:28285)
  • Partial removal of collar bone at shoulder using an endoscope (HCPCS:29824)
  • Fusion of spine in lower back (HCPCS:22612)
  • Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment (HCPCS:63047)
  • Fusion of big toe at joint with foot (HCPCS:28750)
  • Removal of deep implant from bone (HCPCS:20680)
  • Aspiration and/or injection of fluid from large joint (HCPCS:20610)
  • Correction of bunion (HCPCS:28292)
  • Release and/or relocation of elbow nerve (HCPCS:64718)
  • Removal of extensive shoulder joint tissue using an endoscope (HCPCS:29823)
  • Removal of growth of tendon finger or hand (HCPCS:26160)
  • Replacement of thigh bone and hip joint with prosthesis (HCPCS:27130)
  • Incision or partial removal of foot bone (other than big toe) to straighten toe (HCPCS:28308)
  • Removal of connective tissue of palm and release of finger, first digit (HCPCS:26123)

The enumeration date for this NPI number is 7/19/2005 and was last updated on 12/28/2009.

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
1261QA1903XClinic/CenterAmbulatory Surgical015MISSISSIPPIYes

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
1490000021MEDICARE ID-TYPE UNSPECIFIEDMISSISSIPPIMEDICARE PROVIDER NUMBER
200770390MEDICAIDMISSISSIPPI
3000050871OTHERMISSISSIPPIBLUE CROSS & BLUE SHIELD

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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