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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: November 01, 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 Health, Ambetter of North Carolina and more.Insurance ›

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 Oncology Specialists, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

12

Medicare enrollment records show 12 clinicians reassign Medicare billing to Southern Oncology Specialists, PLLC, which bills Medicare for the services they deliver. Of these, 5 practice at this address and 7 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 3

Hematology/Oncology7
Nurse Practitioner3
Medical Oncology2

Clinicians, nearest first (12)

Jack Burton
Medical Oncology
NPI 1700897121
9930 KINCEY AVE STE 165
Huntersville, NC 28078
(704) 947-5005
✔ PECOS✔ Accepts MedicareSame address
Jennifer Dallas, MD
Hematology/Oncology
NPI 1417046343
9930 KINCEY AVE STE 165
Huntersville, NC 28078
(704) 947-5005
✔ PECOS✔ Accepts MedicareSame address
Jia Hao Liang, MD
Hematology/Oncology
NPI 1629503222
9930 KINCEY AVE STE 165
Huntersville, NC 28078
(046) 597-8667
✔ PECOS✔ Accepts MedicareSame address
William Mitchell, MD
Hematology/Oncology
NPI 1811949308
9930 KINCEY AVE STE 165
Huntersville, NC 28078
(704) 947-5005
✔ PECOS✔ Accepts MedicareSame address
Poras Patel
Hematology/Oncology
NPI 1669876447
9930 KINCEY AVE STE 165
Huntersville, NC 28078
(704) 947-5005
✔ PECOS✔ Accepts MedicareSame address
Kristen Pawlowski, FNP-C
Nurse Practitioner
NPI 1407118615
275 N NC 16 BUSINESS HWY STE 104
Denver, NC 28037
(704) 489-3440
✔ PECOS✔ Accepts Medicare8.4 mi
Moses Raj, MD
Hematology/Oncology
NPI 1992707418
268 GILLMAN RD STE A
Denver, NC 28037
(704) 659-7830
✔ PECOS✔ Accepts Medicare8.4 mi
Abdul Miah, MD
Hematology/Oncology
NPI 1467848010
2711 XRAY DRIVE SUITE 3701
Gastonia, NC 28054
(980) 834-9600
✔ PECOS✔ Accepts Medicare18 mi
Katie Brown, NP-C
Nurse Practitioner
NPI 1104480862
1405 FERN CREEK DR
Statesville, NC 28625
(704) 659-7866
✔ PECOS✔ Accepts Medicare27 mi
Swetha Arshanapally, M.D.
Hematology/Oncology
NPI 1720222094
631 MOCKSVILLE AVE STE 1020
Salisbury, NC 28144
(704) 210-7600
✔ PECOS✔ Accepts Medicare29 mi
Jill Reid, FNP
Nurse Practitioner
NPI 1710833827
2660 TATE BLVD SE STE 201
Hickory, NC 28602
(704) 659-7860
✔ PECOS32 mi
Ramesh Pandey, MD
Medical Oncology
NPI 1912313206
1301 PALM AVE STE 600
Jacksonville, FL 32207
(904) 202-7300
✔ PECOS✔ Accepts Medicare354 mi

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 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 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.

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.

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.

Is Southern Oncology Specialists, PLLC enrolled in Medicare?

Yes. Southern Oncology Specialists, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Southern Oncology Specialists, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 12 clinicians in 3 Medicare specialties reassign their Medicare billing to Southern Oncology Specialists, PLLC. 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 Hematology/Oncology (7), Nurse Practitioner (3) and Medical Oncology (2). Of these, 5 practice at this address and 7 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and AmeriHealth Caritas Next 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 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.