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

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 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: November 01, 2026.

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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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Southeastern Plastic Surgery Assoc., Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Southeastern Plastic Surgery Assoc., PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Luis Pernia, M.D.

Plastic and Reconstructive Surgery

NPI 1174504336

100 TOWNCENTER BLVD STE 111
Tuscaloosa, AL 35406

(205) 330-8820

✔ PECOS✔ Accepts MedicareSame address

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 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.

Is Southeastern Plastic Surgery Assoc., PC enrolled in Medicare?

Yes. Southeastern Plastic Surgery Assoc., PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Southeastern Plastic Surgery Assoc., PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Plastic and Reconstructive Surgery) reassigns their Medicare billing to Southeastern Plastic Surgery Assoc., PC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 38 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.