SOUTHERN SURGICAL ASSOCIATES, P. A.
NPI 1265551162
Specialist in Hattiesburg, MS
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
Specialties & Licenses
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 Surgical Associates, P. A. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
6Medicare enrollment records show 6 clinicians reassign Medicare billing to Southern Surgical Associates, P. A., which bills Medicare for the services they deliver. Of these, 4 practice at this address and 5 within 10 miles. They are listed nearest first.
Clinicians, nearest first (6)
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 25D2018229
Southern Surgical Associates PA · Hattiesburg, 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 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.
Is Southern Surgical Associates, P. A. enrolled in Medicare?
Yes. Southern Surgical Associates, P. A. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Southern Surgical Associates, P. A.?
According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 2 Medicare specialties reassign their Medicare billing to Southern Surgical Associates, P. A.. 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 General Surgery (4) and Nurse Practitioner (2). Of these, 4 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
# Southern Surgical Associates, P. A. · NPI 1265551162
Specialist organization in Hattiesburg, Mississippi. Organization record, active in the CMS NPPES registry since March 29, 2007.
## Identity
- **NPI:** 1265551162 (Entity type: Organization)
- **Enumerated:** March 29, 2007
- **Primary specialty:** Specialist · taxonomy 174400000X
- **Organization subpart:** No
- **Authorized official:** George Azar, PRESIDENT
## Practice location
- **Address:** 139 FAIRFIELD DR, Hattiesburg, MS 39402-1303
- **Phone:** (601) 450-2401 · **Fax:** (601) 450-2410
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 6 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: General Surgery (4), Nurse Practitioner (2); 4 practice at this address and 5 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 31, 2011
- **Other identifiers:** Medicare PIN C02780 (MS); Medicaid 09015363 (MS)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1265551162) · Data from the CMS NPPES public registry.