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

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: July 19, 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, 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
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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

What is SOUTHEASTERN PLASTIC SURGERY ASSOC., PC's NPI number?

The NPI number assigned to this healthcare provider is 1124168927, enumerated as an "organization" on February 08, 2007.

Where is the provider located?

The provider is located at 100 TOWNCENTER SUITE 111 TUSCALOOSA, AL 35406 and the phone number is (205) 345-8820.

What is the provider's specialty?

Specialist with taxonomy code 174400000X.

What insurance does SOUTHEASTERN PLASTIC SURGERY ASSOC., PC accept?

The provider might be accepting Accepts: Blue Cross Blue Shield, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.