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

Q: What is the provider's specialty?

The provider's specialty is Specialist with taxonomy code 174400000X.

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: July 19, 2026.

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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

Phone(601) 450-2401

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

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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

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA 3

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.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 25D1028300

Southern Urology · Hattiesburg, MS

Expired · Jul 21, 2026

CLIA Number25D1028300

Laboratory TypePhysician Office

Certificate Effective DateJuly 22, 2024

Certificate Expiration DateJuly 21, 2026

Laboratory DirectorDr. Deborah T. Azar

Laboratory Phone(601) 450-2401

Laboratory LocationSouthern Urology139 Fairfield Drive 1st Floor, Hattiesburg, MS 39402

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 of Waiver 25D0974912

Southern Surgery Center · Hattiesburg, MS

Expired · Jun 19, 2026

CLIA Number25D0974912

Laboratory TypeAmbulatory Surgery Center

Certificate Effective DateJune 20, 2024

Certificate Expiration DateJune 19, 2026

Laboratory DirectorDr. Lance L. Line

Laboratory Phone(601) 554-7558

Laboratory LocationSouthern Surgery Center3688 Veterans Memorial Drive 1st Floor Ste 100, Hattiesburg, MS 39401

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.

DR. ROBIN H SCHWARTZ M.D.

Anesthesiology