SOUTHERN SURGICAL ASSOCIATES, PA
NPI 1154370104
Surgery in Greenville, NC

Active since May 08, 2006
2455 EMERALD PL, GREENVILLE, NC 27834(252) 758-2224(252) 758-2860 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Southern Surgical Associates, Pa NPPES

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

SOUTHERN SURGICAL ASSOCIATES, PA (NPI 1154370104) is a healthcare organization registered as a surgery in Greenville, North Carolina and active in the NPI registry since May 2006. The organization lists Wade Naziri, President, as its authorized official.

NPPES Registry Identity

NPI1154370104
Entity TypeOrganization
Primary Taxonomy208600000X
Legal Business NameSOUTHERN SURGICAL ASSOCIATES, PA
Location Address2455 EMERALD PLGreenville, NC 27834-5785
Mailing Address2455 Emerald PlGreenville, NC 27834-5785 · (252) 758-2224 · Fax (252) 758-2860
Fax(252) 758-2860
Organization SubpartNo
Authorized OfficialWade NaziriPresident · (252) 758-2224
Enumeration DateMay 8, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1154370104 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
2455 EMERALD PL, Greenville, NC 27834

Other Identifiers 2

Medicaid5901798NC
Other017EXNC · Bcbs

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 SINGLE SPECIALTY GROUP

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)

Southern Surgical Associates, Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Southern Surgical Associates, PA, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.

Clinicians, nearest first (5)

Nurse Practitioner
NPI 1215363528
2455 EMERALD PL
Greenville, NC 27834
(252) 758-2224
✔ PECOS✔ Accepts MedicareSame address
General Surgery
NPI 1588662514
2455 EMERALD PL
Greenville, NC 27834
(252) 758-2224
✔ PECOS✔ Accepts MedicareSame address
General Surgery
NPI 1760431613
2455 EMERALD PL
Greenville, NC 27834
(252) 758-2224
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1033968615
623 WEST 15TH STREET
Washington, NC 27889
(252) 644-6450
✔ PECOS✔ Accepts Medicare20 mi
Nurse Practitioner
NPI 1053995514
2607 MEDICAL OFFICE PL STE A
Goldsboro, NC 27534
(919) 739-9060
✔ PECOS✔ Accepts Medicare34 mi

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 Southern Surgical Associates, PA's NPI number?

The NPI number for Southern Surgical Associates, PA is 1154370104. It was assigned to this organization in the NPPES registry on May 8, 2006.

Where is Southern Surgical Associates, PA located?

Southern Surgical Associates, PA is located at 2455 Emerald Pl, Greenville, NC 27834. The listed phone number is (252) 758-2224.

What is Southern Surgical Associates, PA's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Southern Surgical Associates, PA enrolled in Medicare?

Yes. Southern Surgical Associates, PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Southern Surgical Associates, PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 2 Medicare specialties reassign their Medicare billing to Southern Surgical Associates, 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 Nurse Practitioner (3) and General Surgery (2). Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Southern Surgical Associates, PA accept?

Health plans from Blue Cross and Blue Shield of NC list Southern Surgical Associates, 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 Southern Surgical Associates, PA was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.