SOUTHERN OB/GYN
NPI 1205199452
Obstetrics & Gynecology in Greenville, IL
About Southern Ob/gyn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SOUTHERN OB/GYN (NPI 1205199452) is a healthcare organization registered as an obstetrics & gynecology in Greenville, Illinois and active in the NPI registry since June 2012. The organization holds 3 active CLIA laboratory certificates and lists Anne E Doll-pollard, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 2
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 Ob/gyn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
10Medicare enrollment records show 10 clinicians reassign Medicare billing to Southern Ob/Gyn, which bills Medicare for the services they deliver. They are listed nearest first.
Clinicians by Medicare Specialty 3
Clinicians, nearest first (10)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA 4
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 for Provider-Performed Microscopy Procedures (PPMP) 14D0434204
Southern Obstetric & Gynecologic Assoc · Breese, ILCertificate for Provider-Performed Microscopy Procedures (PPMP) 14D2311536
Southern Obstetric & Gynecologic Associates · Highland, ILCertificate for Provider-Performed Microscopy Procedures (PPMP) 14D2315686
Southern Obstetric & Gynocologic Assoc · Salem, ILCertificate for Provider-Performed Microscopy Procedures (PPMP) 14D2312301
Southern Obstetric & Gynecologic Associates · Greenville, ILFrequently 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 Obstetric & Gyneco Associates's NPI number?
The NPI number for Southern Obstetric & Gyneco Associates is 1205199452. It was assigned to this organization in the NPPES registry on June 22, 2012. The provider is doing business as Southern Ob/Gyn.
Where is Southern Obstetric & Gyneco Associates located?
Southern Obstetric & Gyneco Associates is located at 700 S Dewey St, Greenville, IL 62246. The listed phone number is (618) 526-2209.
What is Southern Obstetric & Gyneco Associates's specialty?
The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.
Is Southern Obstetric & Gyneco Associates enrolled in Medicare?
Yes. Southern Obstetric & Gyneco Associates is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Southern Obstetric & Gyneco Associates?
According to the CMS Revalidation Reassignment List (October 2026 release), 10 clinicians in 3 Medicare specialties reassign their Medicare billing to Southern Obstetric & Gyneco Associates. 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 Obstetrics/Gynecology (5), Nurse Practitioner (3) and Certified Nurse Midwife (CNM) (2). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Southern Obstetric & Gyneco Associates hold CLIA laboratory certificates?
Yes. 3 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.
When was this NPI record last updated?
The NPPES record for Southern Obstetric & Gyneco Associates was last updated on June 22, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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 Ob/gyn · NPI 1205199452
Obstetrics & Gynecology organization in Greenville, Illinois. Organization record, active in the CMS NPPES registry since June 22, 2012.
## Identity
- **NPI:** 1205199452 (Entity type: Organization)
- **Enumerated:** June 22, 2012
- **Primary specialty:** Obstetrics & Gynecology · taxonomy 207V00000X
- **Legal business name:** Southern Obstetric & Gyneco Associates
- **Organization subpart:** No
- **Authorized official:** Anne Doll-Pollard, PRESIDENT
## Practice location
- **Address:** 700 S DEWEY ST, Greenville, IL 62246-2288
- **Phone:** (618) 526-2209 · **Fax:** (618) 526-7737
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 10 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Obstetrics/Gynecology (5), Nurse Practitioner (3), Certified Nurse Midwife (CNM) (2) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 22, 2012
- **Other identifiers:** Other 042005236 (IL); Medicare NSC 0994340001 (IL)
- **CLIA laboratory certificates:** 4 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1205199452) · Data from the CMS NPPES public registry.