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

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

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

Active since February 08, 2007

100 TOWNCENTER, SUITE 111, TUSCALOOSA, AL 35406(205) 345-8820(205) 345-8842 Get Directions Write a Review

NPPES record last updated: September 25, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

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, SUITE 111Tuscaloosa, AL 35406-1832

Mailing Address100 Towncenter, Suite 111Tuscaloosa, AL 35406-1832 · (205) 345-8820 · Fax (205) 345-8842

Phone(205) 345-8820

Fax(205) 345-8842

Organization SubpartNo

Authorized OfficialLuis R PerniaSurgeon · (205) 345-8820

Enumeration DateFebruary 8, 2007

Last NPPES UpdateSeptember 25, 2025

NPPES CertifiedSeptember 25, 2025

✔ 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, Tuscaloosa, AL 35406

Open in Google Maps ↗

Other Identifiers 4

Other441666528BMS · Bcbs Of Ms

Medicaid528501310AL

Other240000037MS · Medicare

Other51014573AL · Bcbs Of Al

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 MULTIPLE SINGLE SPECIALTY GROUP

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 Suite 111, Tuscaloosa, AL 35406. The listed phone number is (205) 345-8820.

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 September 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.