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CENTER FOR SOUTHSIDE SURGERY, LLC
NPI 1003292483
Clinic/Center - Ambulatory Surgical in Greenwood, IN

Active since August 07, 2015CLIA Certified · 2 labs
533 E COUNTY LINE RD, SUITE 201, GREENWOOD, IN 46143(317) 706-7246(317) 706-3419 Get Directions Write a Review

NPPES record last updated: November 18, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 18, 2025, Apr 11, 2023 (2 updates tracked since 2023).

About Center For Southside Surgery, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CENTER FOR SOUTHSIDE SURGERY, LLC (NPI 1003292483) is a healthcare organization registered as an ambulatory surgical in Greenwood, Indiana and active in the NPI registry since August 2015. The organization holds 2 active CLIA laboratory certificates and lists Christina Mandabach, Director Of Business Ops, as its authorized official.

NPPES Registry Identity

NPI1003292483
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameCENTER FOR SOUTHSIDE SURGERY, LLC
Location Address533 E COUNTY LINE RD, SUITE 201Greenwood, IN 46143-1073
Mailing Address29945 Network PlChicago, IL 60673-1299 · (317) 706-7246 · Fax (317) 706-3419
Phone(317) 706-7246
Fax(317) 706-3419
Organization SubpartNo
Authorized OfficialChristina MandabachDirector Of Business Ops · (317) 706-7246
Enumeration DateAugust 7, 2015
Last NPPES UpdateNovember 18, 20252 updates tracked since enumeration
NPPES CertifiedNovember 18, 2025
✔ NPI 1003292483 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
533 E COUNTY LINE RD, Greenwood, IN 46143
Open in Google Maps ↗

Other Identifiers 1

Medicaid201358590AIN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Center For Southside Surgery, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Center For Southside Surgery, LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (4)

Scott Kim, M.D.
Pain Management
NPI 1164650461
533 E COUNTY LINE RD SUITE 201
Greenwood, IN 46143
(317) 706-7246
✔ PECOS✔ Accepts MedicareSame address
Jocelyn Bush, M.D.
Interventional Pain Management
NPI 1447356704
8805 N MERIDIAN ST
Indianapolis, IN 46260
(317) 706-7246
✔ PECOS✔ Accepts Medicare20 mi
David Gordon, MD
Anesthesiology
NPI 1760724603
8805 N MERIDIAN ST
Indianapolis, IN 46260
(317) 706-7246
✔ PECOS✔ Accepts Medicare20 mi
Edward Kowlowitz, M.D.
Interventional Pain Management
NPI 1972590529
8805 N MERIDIAN ST
Indianapolis, IN 46260
(317) 706-7246
✔ PECOS✔ Accepts Medicare20 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 15D2104412

Center For Southside Surgery, LLC · Greenwood, IN
Active · expires Nov 3, 2027
CLIA Number15D2104412
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateNovember 4, 2025
Certificate Expiration DateNovember 3, 2027
Laboratory DirectorEdward J. Kowlowitz
Laboratory Phone(317) 706-7246
Laboratory LocationCenter For Southside Surgery, LLC533 E County Line Rd, Ste 201, Greenwood, IN 46143
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 15D0992533

Center For Special Surgery LLC · Indianapolis, IN
Active · expires Oct 17, 2027
CLIA Number15D0992533
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateOctober 18, 2025
Certificate Expiration DateOctober 17, 2027
Laboratory DirectorEdward J. Kowlowitz
Laboratory Phone(317) 706-7246
Laboratory LocationCenter For Special Surgery LLC8805 N Meridian St, Indianapolis, IN 46260
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 12

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Insertion of spinal neurostimulator electrode array through skin 63650
This procedure involves placing a small device, called a neurostimulator electrode array, under your skin near your spine. It delivers mild electrical signals to your spinal cord, helping to manage chronic pain.
108 services41 patients
Injection of lower or sacral spine facet joint using imaging guidance, single level 64493
This procedure involves injecting medication into the facet joint in your lower back or sacral spine. It's done under imaging guidance to ensure accuracy. The aim is to alleviate pain and inflammation. It's a safe, often effective method for managing spinal discomfort.
77 services33 patients
Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography G0260
This procedure involves injecting medicine into the sacroiliac joint, located in the lower back. The aim is to reduce inflammation and pain. Anesthetic is used for immediate pain relief, while a steroid helps decrease inflammation over time. Arthrography, a type of imaging, may be used for precision.
48 services26 patients
Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint 64635
This procedure involves using imaging guidance to accurately target and destroy nerves in the lower or sacral spinal facet joint. It's done to relieve chronic back pain. The process is safe and usually effective.
42 services26 patients
Injection of substance into lower spine canal using imaging guidance 62323
This procedure involves injecting a substance into your lower spine canal, guided by real-time images. It's done to diagnose or treat various conditions. You may feel slight discomfort, but it's generally safe and can provide valuable information for your treatment plan.
41 services33 patients
Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level 64483
This procedure involves injecting a mix of numbing and anti-inflammatory medication into a specific nerve root in the lower back. It helps manage pain and reduce inflammation. The process is guided by imaging technology for precision.
35 services25 patients

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Center For Southside Surgery, LLC's NPI number?

The NPI number for Center For Southside Surgery, LLC is 1003292483. It was assigned to this organization in the NPPES registry on August 7, 2015.

Where is Center For Southside Surgery, LLC located?

Center For Southside Surgery, LLC is located at 533 E County Line Rd Suite 201, Greenwood, IN 46143. The listed phone number is (317) 706-7246.

What is Center For Southside Surgery, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Is Center For Southside Surgery, LLC enrolled in Medicare?

Yes. Center For Southside Surgery, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Center For Southside Surgery, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to Center For Southside Surgery, LLC, in Anesthesiology, Interventional Pain Management and Pain Management. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Center For Southside Surgery, LLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Center For Southside Surgery, LLC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource list Center For Southside Surgery, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Center For Southside Surgery, LLC was last updated on November 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.