SOUTHERN SURGERY CENTER, LLC
NPI 1184083958
Clinic/Center - Ambulatory Surgical in Albany, GA

Q: What is Southern Surgery Center, LLC's NPI number?

The NPI number for Southern Surgery Center, LLC is 1184083958. It was assigned to this organization in the NPPES registry on February 22, 2016.

Q: What is Southern Surgery Center, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Active since February 22, 2016CLIA 11D2107612 · Waiver

605 N WESTOVER BLVD, ALBANY, GA 31707(229) 434-4200(229) 434-1488 Get Directions Write a Review

NPPES record last updated: February 22, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Southern Surgery Center, Llc NPPES

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

SOUTHERN SURGERY CENTER, LLC (NPI 1184083958) is a healthcare organization registered as an ambulatory surgical in Albany, Georgia and active in the NPI registry since February 2016. The organization holds a CLIA Waiver certificate valid through January 18, 2028 and lists John Buckley Davis, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1184083958

Entity TypeOrganization

Primary Taxonomy261QA1903X

Legal Business NameSOUTHERN SURGERY CENTER, LLC

Location Address605 N WESTOVER BLVDAlbany, GA 31707-2188

Mailing Address605 N Westover BlvdAlbany, GA 31707-2188 · (229) 434-4200 · Fax (229) 434-1488

Phone(229) 434-4200

Fax(229) 434-1488

Organization SubpartNo

Authorized OfficialJohn Buckley DavisMedical Director · (229) 434-4200

Enumeration DateFebruary 22, 2016

✔ NPI 1184083958 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities

Taxonomy Code261QA1903X

605 N WESTOVER BLVD, Albany, GA 31707

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc..Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 11D2107612

Southern Surgery Center · Albany, GA

Active · expires Jan 18, 2028

CLIA Number11D2107612

Laboratory TypeAmbulatory Surgery Center

Certificate Effective DateJanuary 19, 2026

Certificate Expiration DateJanuary 18, 2028

Laboratory DirectorJohn B. Davis Jr

Laboratory Phone(229) 434-4200

Laboratory LocationSouthern Surgery Center605 North Westover Blvd, Albany, GA 31707

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 9

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Biopsy of large bowel using a flexible endoscope 45380

A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.

91 services90 patients

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

88 services86 patients

Microscopic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43252

This procedure involves using a thin, flexible instrument called an endoscope to examine the esophagus, stomach, and upper small bowel. The endoscope has a light and camera, allowing a detailed view of these areas to help diagnose various conditions.

64 services64 patients

Colorectal cancer screening; colonoscopy on individual at high risk G0105

Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.

31 services31 patients

Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk G0121

Colorectal cancer screening, such as a colonoscopy, is a preventive measure to detect early signs of cancer in the large intestine. For individuals not at high risk, it's typically recommended at age 50. A small, flexible tube with a camera is used to examine your colon. It's a safe, effective way to catch issues early.

22 services22 patients

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385

This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.

18 services18 patients

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Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALBANY SURGICAL, P.C.

Surgery