SOUTHERN SURGICAL ASSOCIATES, P. A.
NPI 1265551162
Specialist in Hattiesburg, MS

Active since March 29, 2007CLIA 25D2018229 · Waiver
139 FAIRFIELD DR, HATTIESBURG, MS 39402(601) 450-2401(601) 450-2410 Get Directions Write a Review

NPPES record last updated: January 31, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Southern Surgical Associates, P. A. NPPES

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

SOUTHERN SURGICAL ASSOCIATES, P. A. (NPI 1265551162) is a healthcare organization registered as a specialist in Hattiesburg, Mississippi and active in the NPI registry since March 2007. The organization holds a CLIA Waiver certificate valid through December 28, 2026 and lists George James Azar, President, as its authorized official.

NPPES Registry Identity

NPI1265551162
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameSOUTHERN SURGICAL ASSOCIATES, P. A.
Location Address139 FAIRFIELD DRHattiesburg, MS 39402-1303
Mailing Address139 Fairfield DrHattiesburg, MS 39402-1303 · (601) 450-2401 · Fax (601) 450-2410
Fax(601) 450-2410
Organization SubpartNo
Authorized OfficialGeorge James AzarPresident · (601) 450-2401
Enumeration DateMarch 29, 2007
Last NPPES UpdateJanuary 31, 2011
NPI 1265551162 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
139 FAIRFIELD DR, Hattiesburg, MS 39402

Other Identifiers 2

Medicare PINC02780MS
Medicaid09015363MS

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

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 25D2018229

Southern Surgical Associates PA · Hattiesburg, MS
Active · expires Dec 28, 2026
CLIA Number25D2018229
Laboratory TypePhysician Office
Certificate Effective DateDecember 29, 2024
Certificate Expiration DateDecember 28, 2026
Laboratory DirectorDr. Wesley G. Girod
Laboratory Phone(601) 450-2401
Laboratory LocationSouthern Surgical Associates PA139 Fairfield Drive, First Floor, Hattiesburg, MS 39402
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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.

Urology
139 FAIRFIELD DR
HATTIESBURG, MS 39402
Anesthesiology
139 FAIRFIELD DR
HATTIESBURG, MS 39402
Specialist
139 FAIRFIELD DR
HATTIESBURG, MS 39402
Surgery
139 FAIRFIELD DR
HATTIESBURG, MS 39402
Surgery
139 FAIRFIELD DR
HATTIESBURG, MS 39402
Nurse Anesthetist, Certified Registered
139 FAIRFIELD DR
HATTIESBURG, MS 39402
Anesthesiology
139 FAIRFIELD DR
HATTIESBURG, MS 39402
Nurse Practitioner (Family)
139 FAIRFIELD DR
HATTIESBURG, MS 39402

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 Surgical Associates, P. A.'s NPI number?

The NPI number for Southern Surgical Associates, P. A. is 1265551162. It was assigned to this organization in the NPPES registry on March 29, 2007.

Where is Southern Surgical Associates, P. A. located?

Southern Surgical Associates, P. A. is located at 139 Fairfield Dr, Hattiesburg, MS 39402. The listed phone number is (601) 450-2401.

What is Southern Surgical Associates, P. A.'s specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Does Southern Surgical Associates, P. A. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 25D2018229) is associated with this NPI, valid through December 28, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Southern Surgical Associates, P. A. accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee and 1 other insurer list Southern Surgical Associates, P. A. 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 Surgical Associates, P. A. was last updated on January 31, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.