SOUTHERN EYE CENTER
NPI 1235316266
Ophthalmology in Hattiesburg, MS
About Southern Eye Center NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SOUTHERN EYE CENTER (NPI 1235316266) is a healthcare organization registered as an ophthalmology in Hattiesburg, Mississippi and active in the NPI registry since January 2008. The organization holds a CLIA Waiver certificate valid through November 19, 2026, maintains 3 additional practice locations, and lists Kiper C Nelson, Managing Member/president, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Locations 3
Other Identifiers 2
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Southern Eye Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by March 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
9Medicare enrollment records show 9 clinicians reassign Medicare billing to Southern Eye Center, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 4 within 10 miles. They are listed nearest first.
Clinicians, nearest first (9)
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
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 25D2050152
Southern Eye Physicians Center LLC · Picayune, MSFrequently 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 Eye Physicians Center, LLC's NPI number?
The NPI number for Southern Eye Physicians Center, LLC is 1235316266. It was assigned to this organization in the NPPES registry on January 22, 2008. The provider is doing business as Southern Eye Center.
Where is Southern Eye Physicians Center, LLC located?
Southern Eye Physicians Center, LLC is located at 1420 S 28th Ave, Hattiesburg, MS 39402. The listed phone number is (601) 264-3937.
What is Southern Eye Physicians Center, LLC's specialty?
The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.
Is Southern Eye Physicians Center, LLC enrolled in Medicare?
Yes. Southern Eye Physicians Center, LLC is registered in the Medicare PECOS enrollment system.
When is Southern Eye Physicians Center, LLC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Mississippi, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Southern Eye Physicians Center, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 9 clinicians in 3 Medicare specialties reassign their Medicare billing to Southern Eye Physicians Center, LLC. 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 Ophthalmology (5), Optometry (3) and Certified Registered Nurse Anesthetist (CRNA) (1). Of these, 3 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Southern Eye Physicians Center, LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 25D2050152) is associated with this NPI, valid through November 19, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Southern Eye Physicians Center, LLC accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 4 other insurers list Southern Eye Physicians Center, LLC 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 Eye Physicians Center, LLC was last updated on June 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 Eye Center · NPI 1235316266
Ophthalmology organization in Hattiesburg, Mississippi. Organization record, active in the CMS NPPES registry since January 22, 2008.
## Identity
- **NPI:** 1235316266 (Entity type: Organization)
- **Enumerated:** January 22, 2008
- **Primary specialty:** Ophthalmology · taxonomy 207W00000X
- **Legal business name:** Southern Eye Physicians Center, Llc
- **Organization subpart:** No
- **Authorized official:** Kiper Nelson, MANAGING MEMBER/PRESIDENT
## Practice location
- **Address:** 1420 S 28TH AVE, Hattiesburg, MS 39402-3107
- **Phone:** (601) 264-3937 · **Fax:** (601) 264-5930
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** March 31, 2027 (Non-DME Part B, Mississippi, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 9 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Ophthalmology (5), Optometry (3), Certified Registered Nurse Anesthetist (CRNA) (1); 3 practice at this address and 4 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 23, 2021
- **Other identifiers:** Other 512G700152 (MS); Medicaid 09014315 (MS)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1235316266) · Data from the CMS NPPES public registry.