SOUTHERN SURGICAL
NPI 1073849634
Surgery in Pulaski, TN

Active since November 02, 2009
204 HILLSIDE DR, PULASKI, TN 38478(931) 363-3514(931) 363-3595 Get Directions Write a Review

NPPES record last updated: November 2, 2009. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Southern Surgical NPPES

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

SOUTHERN SURGICAL (NPI 1073849634) is a healthcare organization registered as a surgery in Pulaski, Tennessee and active in the NPI registry since November 2009. The organization lists Jess Judy, President, as its authorized official.

NPPES Registry Identity

NPI1073849634
Entity TypeOrganization
Primary Taxonomy208600000X
Legal Business NameAMG-HILLSIDE LLC
Location Address204 HILLSIDE DRPulaski, TN 38478-4566
Mailing Address204 Hillside DrPulaski, TN 38478-4566 · (931) 363-3514 · Fax (931) 363-3595
Fax(931) 363-3595
Organization SubpartNo
Authorized OfficialJess JudyPresident · (615) 372-8500
Enumeration DateNovember 2, 2009
✔ NPI 1073849634 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in TN · 39634
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.
204 HILLSIDE DR, Pulaski, TN 38478

Other Names 1

Doing Business AsSouthern Surgical

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

Clinicians Billing Medicare Through This Organization

53

Medicare enrollment records show 53 clinicians reassign Medicare billing to Southern Surgical, which bills Medicare for the services they deliver. Of these, 14 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 11

Nurse Practitioner26
Family Practice8
Internal Medicine3
Obstetrics/Gynecology3
Pediatric Medicine3
Urology3
General Surgery2
Podiatry2
3 other specialties3

Nearest to this location (20)

See all 53
Nurse Practitioner
NPI 1518853373
200 HILLSIDE DR
Pulaski, TN 38478
(931) 363-3514
✔ PECOS✔ Accepts Medicare0.1 mi
General Surgery
NPI 1285606277
1255 E COLLEGE ST SUITE 500
Pulaski, TN 38478
(931) 363-8055
✔ PECOS0.1 mi
Family Practice
NPI 1215165311
1255 E COLLEGE ST STE 100
Pulaski, TN 38478
(931) 424-9388
✔ PECOS✔ Accepts Medicare0.1 mi
Internal Medicine
NPI 1417076290
1255 E COLLEGE ST SUITE 400
Pulaski, TN 38478
(931) 363-3086
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1740774025
1255 E COLLEGE ST STE 500
Pulaski, TN 38478
(931) 363-1389
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1801068010
1275 E COLLEGE ST STE 1
Pulaski, TN 38478
(931) 292-6644
✔ PECOS✔ Accepts Medicare0.2 mi
Family Practice
NPI 1144312869
1119 E COLLEGE ST STE 3
Pulaski, TN 38478
(931) 424-8881
✔ PECOS✔ Accepts Medicare0.4 mi
Family Practice
NPI 1114071057
1119 EAST COLLEGE STREET SUITE 3
Pulaski, TN 38478
(931) 424-8881
✔ PECOS✔ Accepts Medicare0.4 mi
Nurse Practitioner
NPI 1134124902
104 IVY LN
Pulaski, TN 38478
(931) 424-1330
✔ PECOS✔ Accepts Medicare0.5 mi
Nurse Practitioner
NPI 1780008391
215 S CEDAR LN
Pulaski, TN 38478
(931) 363-2511
✔ PECOS✔ Accepts Medicare1.1 mi
Nurse Practitioner
NPI 1669533550
181 BRE AVE STE C
Pulaski, TN 38478
(931) 363-3086
✔ PECOS✔ Accepts Medicare3.1 mi
Family Practice
NPI 1487175519
181 BRE AVE STE C
Pulaski, TN 38478
(931) 363-3086
✔ PECOS✔ Accepts Medicare3.3 mi
Nurse Practitioner
NPI 1932603925
181 BRE AVE STE C
Pulaski, TN 38478
(931) 363-3086
✔ PECOS6.2 mi
Nurse Practitioner
NPI 1629537410
6498 PROSPECT RD
Prospect, TN 38477
(931) 309-9460
✔ PECOS✔ Accepts Medicare9.1 mi
Pediatric Medicine
NPI 1952558603
446 CHICKEN CREEK RD
Frankewing, TN 38459
(931) 732-4081
✔ PECOS11 mi
Internal Medicine
NPI 1972661544
181 MILL ST
Lynnville, TN 38472
(931) 347-4971
✔ PECOS✔ Accepts Medicare13 mi
Nurse Practitioner
NPI 1124978101
181 MILL ST
Lynnville, TN 38472
(931) 347-4971
✔ PECOS✔ Accepts Medicare13 mi
Nurse Practitioner
NPI 1932624343
2291 CORNERSVILLE HWY
Lewisburg, TN 37091
(931) 288-8031
✔ PECOS✔ Accepts Medicare16 mi
Family Practice
NPI 1750024105
2291 CORNERSVILLE HWY
Lewisburg, TN 37091
(931) 288-8030
✔ PECOS✔ Accepts Medicare16 mi
Family Practice
NPI 1538515069
26746 MAIN ST
Ardmore, AL 35739
(256) 693-2300
✔ PECOS✔ Accepts Medicare16 mi
See all 53 clinicians

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 Amg-Hillside LLC's NPI number?

The NPI number for Amg-Hillside LLC is 1073849634. It was assigned to this organization in the NPPES registry on November 2, 2009. The provider is doing business as Southern Surgical.

Where is Amg-Hillside LLC located?

Amg-Hillside LLC is located at 204 Hillside Dr, Pulaski, TN 38478. The listed phone number is (931) 363-3514.

What is Amg-Hillside LLC's specialty?

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

Is Amg-Hillside LLC enrolled in Medicare?

Yes. Amg-Hillside LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Amg-Hillside LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 53 clinicians in 11 Medicare specialties reassign their Medicare billing to Amg-Hillside 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. The largest specialties are Nurse Practitioner (26), Family Practice (8) and Internal Medicine (3). Of these, 14 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Amg-Hillside LLC was last updated on November 2, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.