SOUTHERN INSTITUTE OF PLASTIC SURGERY, INC.
NPI 1154721983
Plastic Surgery in Dothan, AL
About Southern Institute Of Plastic Surgery, Inc. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SOUTHERN INSTITUTE OF PLASTIC SURGERY, INC. (NPI 1154721983) is a healthcare organization registered as a plastic surgery in Dothan, Alabama and active in the NPI registry since August 2014. The organization lists Jeffery L Walding, Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
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 Institute Of Plastic Surgery, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Southern Institute Of Plastic Surgery, Inc., which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (2)
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 Institute Of Plastic Surgery, Inc.'s NPI number?
The NPI number for Southern Institute Of Plastic Surgery, Inc. is 1154721983. It was assigned to this organization in the NPPES registry on August 28, 2014.
Where is Southern Institute Of Plastic Surgery, Inc. located?
Southern Institute Of Plastic Surgery, Inc. is located at 2800 Ross Clark Cir Suite 2, Dothan, AL 36301. The listed phone number is (334) 699-7477.
What is Southern Institute Of Plastic Surgery, Inc.'s specialty?
The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.
Is Southern Institute Of Plastic Surgery, Inc. enrolled in Medicare?
Yes. Southern Institute Of Plastic Surgery, Inc. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Southern Institute Of Plastic Surgery, Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Southern Institute Of Plastic Surgery, Inc., in Otolaryngology and Plastic and Reconstructive Surgery. 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. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Southern Institute Of Plastic Surgery, Inc. was last updated on April 1, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Southern Institute Of Plastic Surgery, Inc. · NPI 1154721983
Plastic Surgery organization in Dothan, Alabama. Organization record, active in the CMS NPPES registry since August 28, 2014.
## Identity
- **NPI:** 1154721983 (Entity type: Organization)
- **Enumerated:** August 28, 2014
- **Primary specialty:** Plastic Surgery · taxonomy 208200000X
- **Organization subpart:** No
- **Authorized official:** Jeffery Walding, DIRECTOR
## Practice location
- **Address:** 2800 ROSS CLARK CIR, SUITE 2, Dothan, AL 36301-2040
- **Phone:** (334) 699-7477
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Otolaryngology (1), Plastic and Reconstructive Surgery (1); 2 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 1, 2015
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Source: [NPI Profile](https://npiprofile.com/npi/1154721983) · Data from the CMS NPPES public registry.