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SOUTHERN OB/GYN
NPI 1205199452
Obstetrics & Gynecology in Greenville, IL

Active since June 22, 2012CLIA Certified · 4 labs
700 S DEWEY ST, GREENVILLE, IL 62246(618) 526-2209(618) 526-7737 Get Directions Write a Review

NPPES record last updated: June 22, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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 4 active CLIA laboratory certificates and lists Anne E Doll-pollard, President, as its authorized official.

NPPES Registry Identity

NPI1205199452
Entity TypeOrganization
Primary Taxonomy207V00000X
Legal Business NameSOUTHERN OBSTETRIC & GYNECO ASSOCIATES
Location Address700 S DEWEY STGreenville, IL 62246-2288
Mailing Address9447 Holy Cross LnBreese, IL 62230-3510 · (618) 526-2209 · Fax (618) 526-7372
Phone(618) 526-2209
Fax(618) 526-7737
Organization SubpartNo
Authorized OfficialAnne E Doll-pollardPresident · (618) 526-2209
Enumeration DateJune 22, 2012
✔ NPI 1205199452 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in IL · 036100027
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
700 S DEWEY ST, Greenville, IL 62246
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Other Names 1

Doing Business AsSouthern Ob/gyn

Other Identifiers 2

Other042005236IL · Corporate License
Medicare NSC0994340001IL

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

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.Insurance ›

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) 14D2312301

Southern Obstetric & Gynecologic Associates · Greenville, IL
Active · expires Oct 7, 2026
CLIA Number14D2312301
Laboratory TypePhysician Office
Certificate Effective DateOctober 8, 2024
Certificate Expiration DateOctober 7, 2026
Laboratory DirectorBonnie M. Gelly
Laboratory Phone(618) 526-2209
Laboratory LocationSouthern Obstetric & Gynecologic Associates700 S Dewey St, Greenville, IL 62246
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 14D0434204

Southern Obstetric & Gynecologic Assoc · Breese, IL
Active · expires Aug 31, 2026
CLIA Number14D0434204
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorBonnie M. Gelly
Laboratory Phone(618) 526-2209
Laboratory LocationSouthern Obstetric & Gynecologic Assoc9447 Holy Cross Ln, Breese, IL 62230
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 14D2315686

Southern Obstetric & Gynocologic Assoc · Salem, IL
Active · expires Dec 16, 2026
CLIA Number14D2315686
Laboratory TypePhysician Office
Certificate Effective DateDecember 17, 2024
Certificate Expiration DateDecember 16, 2026
Laboratory DirectorBonnie M. Gelly
Laboratory Phone(618) 526-2209
Laboratory LocationSouthern Obstetric & Gynocologic Assoc1201 Ricker Rd, Salem, IL 62881
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 14D2311536

Southern Obstetric & Gynecologic Associates · Highland, IL
Active · expires Sep 23, 2026
CLIA Number14D2311536
Laboratory TypePhysician Office
Certificate Effective DateSeptember 24, 2024
Certificate Expiration DateSeptember 23, 2026
Laboratory DirectorBonnie M. Gelly
Laboratory Phone(618) 526-2209
Laboratory LocationSouthern Obstetric & Gynecologic Associates100 Woodcrest Dr, Highland, IL 62249
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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 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.

Does Southern Obstetric & Gyneco Associates hold CLIA laboratory certificates?

Yes. 4 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.

What insurance does Southern Obstetric & Gyneco Associates accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Southern Obstetric & Gyneco Associates 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 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.