HOGAN SURGICAL CENTER PA
NPI 1104829597
Clinic/Center - Ambulatory Surgical in Gulfport, MS
About Hogan Surgical Center Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HOGAN SURGICAL CENTER PA (NPI 1104829597), doing business as Souhern Vision Surgery Center Gulfport, is a healthcare organization registered as an ambulatory surgical in Gulfport, Mississippi and active in the NPI registry since May 2005. The organization holds a CLIA Waiver certificate valid through July 5, 2028 and lists Kiper C Nelson, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 2
Other Identifiers 1
Accepted 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)
Hogan Surgical Center Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
25Medicare enrollment records show 25 clinicians reassign Medicare billing to Hogan Surgical Center PA, which bills Medicare for the services they deliver. Of these, 7 practice within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 3
Nearest to this location (20)
See all 25Source: 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
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 25D2009508
Hogan Surgical Center, PA · Gulfport, MSAreas of Expertise CMS Part B claims 3
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.
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 Hogan Surgical Center PA's NPI number?
The NPI number for Hogan Surgical Center PA is 1104829597. It was assigned to this organization in the NPPES registry on May 31, 2005. The provider is doing business as Souhern Vision Surgery Center Gulfport and Southern Vision Surgery Center.
Where is Hogan Surgical Center PA located?
Hogan Surgical Center PA is located at 351 Cowan Rd, Gulfport, MS 39507. The listed phone number is (228) 896-1120.
What is Hogan Surgical Center PA's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.
Is Hogan Surgical Center PA enrolled in Medicare?
Yes. Hogan Surgical Center PA is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Hogan Surgical Center PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 25 clinicians in 3 Medicare specialties reassign their Medicare billing to Hogan Surgical Center PA. 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 Certified Registered Nurse Anesthetist (CRNA) (21), Ophthalmology (3) and Optometry (1). Of these, 7 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Hogan Surgical Center PA hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 25D2009508) is associated with this NPI, valid through July 5, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Hogan Surgical Center PA accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 1 other insurer list Hogan Surgical Center PA 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 Hogan Surgical Center PA was last updated on February 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.
# Hogan Surgical Center Pa · NPI 1104829597
Ambulatory Surgical organization in Gulfport, Mississippi. Organization record, active in the CMS NPPES registry since May 31, 2005.
## Identity
- **NPI:** 1104829597 (Entity type: Organization)
- **Enumerated:** May 31, 2005
- **Primary specialty:** Clinic/Center - Ambulatory Surgical · taxonomy 261QA1903X
- **Also known as:** Souhern Vision Surgery Center Gulfport (Doing Business As); Southern Vision Surgery Center (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Kiper Nelson, OWNER
## Practice location
- **Address:** 351 COWAN RD, Gulfport, MS 39507-2019
- **Phone:** (228) 896-1120 · **Fax:** (228) 896-1332
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 25 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Certified Registered Nurse Anesthetist (CRNA) (21), Ophthalmology (3), Optometry (1); 7 practice within 10 miles; [full list](https://npiprofile.com/npi/1104829597/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 20, 2025
- **Other identifiers:** Medicaid 00770572 (MS)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1104829597) · Data from the CMS NPPES public registry.