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SOUTHERN ONCOLOGY SPECIALISTS, PLLC
NPI 1336455674
Internal Medicine - Hematology & Oncology in Huntersville, NC

Active since August 24, 2010CLIA Certified · 3 labs
9930 KINCEY AVE STE 165, HUNTERSVILLE, NC 28078(704) 947-5005(877) 881-8455 Get Directions Write a Review

NPPES record last updated: August 27, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 27, 2021, Aug 29, 2018, Jun 20, 2016 (3 updates tracked since 2016).

About Southern Oncology Specialists, Pllc NPPES

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

SOUTHERN ONCOLOGY SPECIALISTS, PLLC (NPI 1336455674) is a healthcare organization registered as a hematology & oncology in Huntersville, North Carolina and active in the NPI registry since August 2010. The organization holds 3 active CLIA laboratory certificates and lists William R Mitchell, Owner/md, as its authorized official.

NPPES Registry Identity

NPI1336455674
Entity TypeOrganization
Primary Taxonomy207RH0003X
Legal Business NameSOUTHERN ONCOLOGY SPECIALISTS, PLLC
Location Address9930 KINCEY AVE STE 165Huntersville, NC 28078-6541
Mailing Address9930 Kincey Ave Ste 165Huntersville, NC 28078-6541 · (047) 947-5005 · Fax (877) 881-8455
Phone(704) 947-5005
Fax(877) 881-8455
Organization SubpartNo
Authorized OfficialWilliam R MitchellOwner/md · (704) 945-6843
Enumeration DateAugust 24, 2010
Last NPPES UpdateAugust 27, 20213 updates tracked since enumeration
NPPES CertifiedAugust 27, 2021
✔ NPI 1336455674 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License✔ Licensed in NC · 34407
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
Also ListedSpecialistTaxonomy 174400000X · License 34407 (NC)
Also ListedPharmacy · Specialty PharmacyTaxonomy 3336S0011X · License 13089 (NC)
9930 KINCEY AVE STE 165, Huntersville, NC 28078
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and more.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 of Compliance 34D2174706

Southern Oncology Specialists · Mooresville, NC
Active · expires Mar 17, 2028
CLIA Number34D2174706
Laboratory TypePhysician Office
Certificate Effective DateMarch 18, 2026
Certificate Expiration DateMarch 17, 2028
Laboratory DirectorWilliam R. Mitchell
Laboratory Phone(704) 947-5005
Laboratory LocationSouthern Oncology Specialists146 Medical Park Road, Suite 212, Mooresville, NC 28117
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Compliance 34D2043657

Southern Oncology Specialists · Charlotte, NC
Active · expires Feb 25, 2028
CLIA Number34D2043657
Laboratory TypePhysician Office
Certificate Effective DateFebruary 26, 2026
Certificate Expiration DateFebruary 25, 2028
Laboratory DirectorWilliam R. Mitchell
Laboratory Phone(704) 947-5005
Laboratory LocationSouthern Oncology Specialists10320 Mallard Creek Road, Suite 100, Charlotte, NC 28262
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Compliance 34D2273400

Southern Oncology Specialists · Statesville, NC
Active · expires Dec 9, 2026
CLIA Number34D2273400
Laboratory TypePhysician Office
Certificate Effective DateDecember 10, 2024
Certificate Expiration DateDecember 9, 2026
Laboratory DirectorWilliam R. Mitchell
Laboratory Phone(704) 947-5005
Laboratory LocationSouthern Oncology Specialists1405 Fern Creek Drive, Statesville, NC 28625
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Compliance 34D2010923

Southern Oncology Specialists · Huntersville, NC
Expired · Jul 31, 2026
CLIA Number34D2010923
Laboratory TypePhysician Office
Certificate Effective DateApril 20, 2024
Certificate Expiration DateJuly 31, 2026
Laboratory DirectorWilliam R. Mitchell
Laboratory Phone(704) 947-5005
Laboratory LocationSouthern Oncology Specialists9930 Kincey Avenue Suite 165, Huntersville, NC 28078
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Medical Equipment Supplier Medicare DMEPOS 3

Medicare supplier enrollment and the product categories Southern Oncology Specialists PLLC carries, from the Medicare DMEPOS supplier directory.

Southern Oncology Specialists PLLC

DMEPOS supplier · Huntersville, NC
✔

Accepts Medicare assignment

Southern Oncology Specialists PLLC agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)24547104
Medicare Participant SinceJuly 6, 2010
Supplier Location9930 Kincey Ave Ste 165Huntersville, NC 28078
Phone(704) 947-5005
Supplier Specialties
Pharmacy

Medicare Product Categories

Infusion Drugs
Oral Anticancer Drugs
FDA anticancer drugs
Oral Antiemetic Drugs
FDA antiemetic drugs
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JENNIFER LAUREN DALLAS MD
Internal Medicine (Hematology & Oncology)
9930 KINCEY AVE STE 165
HUNTERSVILLE, NC 28078
Mecklenburg County (704) 947-5005
MISS KELLI ANN MCLANE PA-C
Physician Assistant
9930 KINCEY AVE STE 165
HUNTERSVILLE, NC 28078
Mecklenburg County (704) 947-5005
MR. XAVIER ALFRED HARRISON PHYSICIAN ASSISTANT
Physician Assistant (Medical)
9930 KINCEY AVE STE 165
HUNTERSVILLE, NC 28078
Mecklenburg County (704) 947-5005
SOUTHERN ONCOLOGY SPECIALISTS, PLLC
Pharmacy (Specialty Pharmacy)
9930 KINCEY AVE STE 165
HUNTERSVILLE, NC 28078
Mecklenburg County (704) 947-5005
AMI MARIE CABAN PA
Physician Assistant
9930 KINCEY AVE STE 165
HUNTERSVILLE, NC 28078
Mecklenburg County (705) 947-5005
JIA HAO LIANG MD
Internal Medicine (Hematology & Oncology)
9930 KINCEY AVE STE 165
HUNTERSVILLE, NC 28078
Mecklenburg County (046) 597-8667
PORAS KAMLESH PATEL
Internal Medicine (Hematology & Oncology)
9930 KINCEY AVE STE 165
HUNTERSVILLE, NC 28078
Mecklenburg County (704) 947-5005
JACK BURTON
Internal Medicine (Hematology & Oncology)
9930 KINCEY AVE STE 165
HUNTERSVILLE, NC 28078
Mecklenburg County (704) 947-5005

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 Oncology Specialists, PLLC's NPI number?

The NPI number for Southern Oncology Specialists, PLLC is 1336455674. It was assigned to this organization in the NPPES registry on August 24, 2010.

Where is Southern Oncology Specialists, PLLC located?

Southern Oncology Specialists, PLLC is located at 9930 Kincey Ave Ste 165, Huntersville, NC 28078. The listed phone number is (704) 947-5005.

What is Southern Oncology Specialists, PLLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Does Southern Oncology Specialists, PLLC accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Southern Oncology Specialists PLLC accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

Does Southern Oncology Specialists, PLLC hold CLIA laboratory certificates?

Yes. 3 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 Oncology Specialists, PLLC accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, AmeriHealth Caritas Next and Blue Cross and Blue Shield of NC and 1 other insurer list Southern Oncology Specialists, PLLC 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 Oncology Specialists, PLLC was last updated on August 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.