DR. EDWARD PAUL SOUTHERN M.D.
NPI 1053360941
Orthopaedic Surgery - Orthopaedic Surgery of the Spine in Fort Polk, LA

Active since May 08, 2006PECOS Enrolled
BAYNE-JONES ARMY COMMUNITY HOSPITAL, 1585 THIRD ST, FORT POLK, LA 71459(337) 531-3000 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 7, 2023, Dec 7, 2018 (2 updates tracked since 2018).

About Dr. Edward Paul Southern M.d. NPPES

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

DR. EDWARD PAUL SOUTHERN M.D. (NPI 1053360941) is an individual orthopaedic surgery of the spine provider in Fort Polk, Louisiana, licensed in California (C050274) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053360941
Entity TypeIndividualMale
Primary Taxonomy207XS0117X
Provider Legal NameDR. EDWARD PAUL SOUTHERNCredential: M.D.
Location AddressBAYNE-JONES ARMY COMMUNITY HOSPITAL, 1585 THIRD STFort Polk, LA 71459
Mailing AddressBayne-jones Army Community Hospital, 1585 Third StFort Polk, LA 71459 · (337) 531-3000
Sole ProprietorNo
Enumeration DateMay 8, 2006
Last NPPES UpdateMarch 7, 20232 updates tracked since enumeration
NPPES CertifiedOctober 7, 2021
NPI 1053360941 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyOrthopaedic Surgery · Orthopaedic Surgery of the SpineAllopathic & Osteopathic Physicians
Taxonomy Code207XS0117X
License Licensed in CA · C050274
Definition
Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive.
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License C050274 (CA)
Also ListedOrthopaedic Surgery · Pediatric Orthopaedic SurgeryTaxonomy 207XP3100X · License C050274 (CA)
BAYNE-JONES ARMY COMMUNITY HOSPITAL, Fort Polk, LA 71459

Other Identifiers 1

Medicaid2301209LA

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Edward Paul Southern M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychiatry & Neurology (Psychiatry)
BAYNE-JONES ARMY COMMUNITY HOSPITAL, 1585 THIRD ST
FORT POLK, LA 71459
Physician Assistant
BAYNE-JONES ARMY COMMUNITY HOSPITAL, 1585 THIRD ST
FT POLK, LA 71459
Nurse Anesthetist, Certified Registered
BAYNE-JONES ARMY COMMUNITY HOSPITAL, 1585 THIRD ST
FORT POLK, LA 71459
Optometrist
BAYNE-JONES ARMY COMMUNITY HOSPITAL, 1585 THIRD ST
FORT JOHNSON, LA 71459
Counselor (Mental Health)
BAYNE-JONES ARMY COMMUNITY HOSPITAL, 1585 THIRD ST
FORT POLK, LA 71459
Emergency Medicine
BAYNE-JONES ARMY COMMUNITY HOSPITAL, 1585 3RD STREET
FORT POLK, LA 71459
Occupational Therapist
BAYNE-JONES ARMY COMMUNITY HOSPITAL, 1585 THIRD ST
FORT POLK, LA 71459
Radiology (Diagnostic Radiology)
BAYNE-JONES ARMY COMMUNITY HOSPITAL, 1585 3RD ST
FT POLK, LA 71459

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 Edward Southern's NPI number?

The NPI number for Edward Southern is 1053360941. It was assigned to this individual provider in the NPPES registry on May 8, 2006.

Where is Edward Southern located?

Edward Southern practices at Bayne-Jones Army Community Hospital 1585 Third St, Fort Polk, LA 71459. The listed phone number is (337) 531-3000.

What is Edward Southern's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Orthopaedic Surgery of the Spine, with taxonomy code 207XS0117X.

Is Edward Southern enrolled in Medicare?

Yes. Edward Southern is registered in the Medicare PECOS enrollment system.

What insurance does Edward Southern accept?

Health plans from Blue Cross and Blue Shield of Texas list Edward Southern 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 Edward Southern was last updated on March 7, 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.