DR. EDWARD PAUL SOUTHERN M.D.
NPI 1053360941
Orthopaedic Surgery - Orthopaedic Surgery of the Spine in Fort Polk, LA
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
Specialties & Licenses 3
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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).
Medicare Billing Reassignment
Medicare enrollment records show Edward Southern reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Ludington, MI 49431
- Reassigned Medicare billing, Michigan enrollment
- 168 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 13
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
FT POLK, LA 71459
FORT POLK, LA 71459
FORT JOHNSON, LA 71459
FORT POLK, LA 71459
FORT POLK, LA 71459
FORT POLK, LA 71459
FT POLK, LA 71459
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.
Which organization bills Medicare for Edward Southern's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Edward Southern reassigns Medicare benefits to Memorial Medical Center Of West Michigan (Ludington, MI). The 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 Edward Southern's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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.
# Dr. Edward Paul Southern, M.D. · NPI 1053360941
Orthopaedic Surgery of the Spine physician in Fort Polk, Louisiana. Individual provider, active in the CMS NPPES registry since May 8, 2006.
## Identity
- **NPI:** 1053360941 (Entity type: Individual)
- **Enumerated:** May 8, 2006
- **Primary specialty:** Orthopaedic Surgery - Orthopaedic Surgery of the Spine · taxonomy 207XS0117X
- **State license:** C050274 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** BAYNE-JONES ARMY COMMUNITY HOSPITAL, 1585 THIRD ST, Fort Polk, LA 71459
- **Phone:** (337) 531-3000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Memorial Medical Center Of West Michigan (NPI 1144639360, Ludington, MI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 7, 2023
- **Other identifiers:** Medicaid 2301209 (LA)
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Source: [NPI Profile](https://npiprofile.com/npi/1053360941) · Data from the CMS NPPES public registry.