SOUTHERN SURGICAL SERVICES, LLC
NPI 1043724677
Surgery in Brookhaven, MS

Q: What is Southern Surgical Services, LLC's NPI number?

The NPI number for Southern Surgical Services, LLC is 1043724677. It was assigned to this organization in the NPPES registry on November 17, 2017.

Q: What is Southern Surgical Services, LLC's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Active since November 17, 2017

1022 D A BIGLANE DR, BROOKHAVEN, MS 39601(601) 265-1494(601) 265-4303 Get Directions Write a Review

NPPES record last updated: July 6, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 6, 2023, Nov 17, 2017 (2 updates tracked since 2017).

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About Southern Surgical Services, Llc NPPES

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

SOUTHERN SURGICAL SERVICES, LLC (NPI 1043724677) is a healthcare organization registered as a surgery in Brookhaven, Mississippi and active in the NPI registry since November 2017. The organization lists Sheila Brewer, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1043724677

Entity TypeOrganization

Primary Taxonomy208600000X

Legal Business NameSOUTHERN SURGICAL SERVICES, LLC

Location Address1022 D A BIGLANE DRBrookhaven, MS 39601-2331

Mailing Address1022 D A Biglane DrBrookhaven, MS 39601-2331 · (601) 265-1494 · Fax (601) 265-4303

Phone(601) 265-1494

Fax(601) 265-4303

Organization SubpartNo

Authorized OfficialSheila BrewerOffice Manager · (601) 265-1494

Enumeration DateNovember 17, 2017

Last NPPES UpdateJuly 6, 20232 updates tracked since enumeration

NPPES CertifiedJuly 6, 2023

✔ NPI 1043724677 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

License✔ Licensed in MS · 21245

Definition

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.

1022 D A BIGLANE DR, Brookhaven, MS 39601

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Southern Surgical Services, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Southern Surgical Services, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Michael Stewart, M.D.

General Surgery

NPI 1134333255

1022 D A BIGLANE DR
Brookhaven, MS 39601

(601) 265-1494

✔ PECOS✔ Accepts MedicareSame address

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

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 Southern Surgical Services, LLC's NPI number?

The NPI number for Southern Surgical Services, LLC is 1043724677. It was assigned to this organization in the NPPES registry on November 17, 2017.

Where is Southern Surgical Services, LLC located?

Southern Surgical Services, LLC is located at 1022 D A Biglane Dr, Brookhaven, MS 39601. The listed phone number is (601) 265-1494.

What is Southern Surgical Services, LLC's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Southern Surgical Services, LLC enrolled in Medicare?

Yes. Southern Surgical Services, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Southern Surgical Services, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (General Surgery) reassigns their Medicare billing to Southern Surgical Services, LLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Southern Surgical Services, LLC was last updated on July 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.