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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SOUTHEASTERN PLASTIC SURGERY ASSOC., PC
NPI 1124168927
Specialist in Tuscaloosa, AL

Active since February 08, 2007
100 TOWNCENTER BLVD STE 111, TUSCALOOSA, AL 35406(205) 330-8820(205) 333-2515 Get Directions Write a Review

NPPES record last updated: October 2, 2026. Verified against the NPPES registry weekly; last sync: October 11, 2026.

About Southeastern Plastic Surgery Assoc., Pc NPPES

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

SOUTHEASTERN PLASTIC SURGERY ASSOC., PC (NPI 1124168927) is a healthcare organization registered as a specialist in Tuscaloosa, Alabama and active in the NPI registry since February 2007. The organization lists Luis R Pernia, Surgeon, as its authorized official.

NPPES Registry Identity

NPI1124168927
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameSOUTHEASTERN PLASTIC SURGERY ASSOC., PC
Location Address100 TOWNCENTER BLVD STE 111Tuscaloosa, AL 35406-1832
Mailing Address100 Towncenter Blvd Ste 111Tuscaloosa, AL 35406-1832 · (205) 330-8820 · Fax (205) 333-2515
Phone(205) 330-8820
Fax(205) 333-2515
Organization SubpartNo
Authorized OfficialLuis R PerniaSurgeon · (205) 330-8820
Enumeration DateFebruary 8, 2007
Last NPPES UpdateOctober 2, 2026
NPPES CertifiedOctober 2, 2026
✔ NPI 1124168927 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in AL · 10631
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
100 TOWNCENTER BLVD STE 111, Tuscaloosa, AL 35406
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Other Identifiers 4

Other240000037MS · Medicare
Medicaid528501310AL
Other441666528BMS · Bcbs Of Ms
Other51014573AL · Bcbs Of Al

Other Providers at the Same Location NPPES 4

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

ROBERT P. BOLLING, MD, LLC
Surgery (Plastic and Reconstructive Surgery)
100 TOWNCENTER BLVD STE 111
TUSCALOOSA, AL 35406
Tuscaloosa County (205) 330-8820
DR. LUIS RONALD PERNIA M.D.
Specialist
100 TOWNCENTER BLVD STE 111
TUSCALOOSA, AL 35406
Tuscaloosa County (205) 330-8820
ROBERT P BOLLING MD
Surgery (Plastic and Reconstructive Surgery)
100 TOWNCENTER BLVD STE 111
TUSCALOOSA, AL 35406
Tuscaloosa County (052) 330-8820
RESTORATION CLINIC
Surgery (Plastic and Reconstructive Surgery)
100 TOWNCENTER BLVD STE 111
TUSCALOOSA, AL 35406
Tuscaloosa County (205) 330-8820

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 Southeastern Plastic Surgery Assoc., PC's NPI number?

The NPI number for Southeastern Plastic Surgery Assoc., PC is 1124168927. It was assigned to this organization in the NPPES registry on February 8, 2007.

Where is Southeastern Plastic Surgery Assoc., PC located?

Southeastern Plastic Surgery Assoc., PC is located at 100 Towncenter Blvd Ste 111, Tuscaloosa, AL 35406. The listed phone number is (205) 330-8820.

What is Southeastern Plastic Surgery Assoc., PC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Southeastern Plastic Surgery Assoc., PC was last updated on October 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 days 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.