SOUTHERN ORTHOPEDIC ASSOCIATES SC
NPI 1396792412
Orthopaedic Surgery in Herrin, IL

Q: What is Southern Orthopedic Associates Sc's NPI number?

The NPI number for Southern Orthopedic Associates Sc is 1396792412. It was assigned to this organization in the NPPES registry on May 27, 2006.

Q: What is Southern Orthopedic Associates Sc's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Active since May 27, 2006

510 LINCOLN DR, HERRIN, IL 62948(618) 997-6800 Get Directions Write a Review

NPPES record last updated: October 4, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 4, 2022, Nov 4, 2019, Mar 6, 2018 and 1 more (4 updates tracked since 2017).

On this page

About Southern Orthopedic Associates Sc NPPES

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

SOUTHERN ORTHOPEDIC ASSOCIATES SC (NPI 1396792412) is a healthcare organization registered as an orthopaedic surgery in Herrin, Illinois and active in the NPI registry since May 2006. The organization lists John Davis, President Orthopedic Surgeon, as its authorized official.

NPPES Registry Identity

NPI1396792412

Entity TypeOrganization

Primary Taxonomy207X00000X

Legal Business NameSOUTHERN ORTHOPEDIC ASSOCIATES SC

Location Address510 LINCOLN DRHerrin, IL 62948-6334

Mailing Address510 Lincoln DriveHerrin, IL 62948 · (618) 997-6800 · Fax (618) 998-9124

Phone(618) 997-6800

Organization SubpartNo

Authorized OfficialJohn DavisPresident Orthopedic Surgeon · (618) 997-6800

Enumeration DateMay 27, 2006

Last NPPES UpdateOctober 4, 20224 updates tracked since enumeration

NPPES CertifiedOctober 4, 2022

✔ NPI 1396792412 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207X00000X

License✔ Licensed in IL · 042617215

Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Also ListedPhysical TherapistTaxonomy 225100000X

Also ListedOccupational TherapistTaxonomy 225X00000X

Also ListedClinic/Center · PodiatricTaxonomy 261QP1100X

Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X · License 042617215 (KY)

Also ListedPhysician AssistantTaxonomy 363A00000X

510 LINCOLN DR, Herrin, IL 62948

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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 MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, Anthem Blue Cross and Blue Shield.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 Orthopedic Associates Sc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 44 clinicians reassign Medicare billing to Southern Orthopedic Associates Sc, which bills Medicare for the services they deliver. Of these, 21 practice at this address and 27 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 9

Orthopedic Surgery17

Nurse Practitioner8

Physical Therapist in Private Practice8

Diagnostic Radiology5

Podiatry2

Anesthesiology1

Neurosurgery1

Occupational Therapist in Private Practice1

1 other specialty1

Nearest to this location (20)

See all 44

Roland Barr, MD

Orthopedic Surgery

NPI 1881709400

510 LINCOLN DRIVE SOUTHERN ORTHOPEDIC ASSOCIATES SC
Herrin, IL 62948

(618) 997-6800

✔ PECOSSame address

Amanda Brazis, DPM

Podiatry

NPI 1528354602

510 LINCOLN DR
Herrin, IL 62948

(618) 997-3100

✔ PECOS✔ Accepts MedicareSame address

Treg Brown, MD

Orthopedic Surgery

NPI 1598870115

510 LINCOLN DR SOUTHERN ORTHOPEDIC ASSOCIATES SC
Herrin, IL 62948

(618) 997-6800

✔ PECOS✔ Accepts MedicareSame address

James Davis, MD

Orthopedic Surgery

NPI 1063516797

510 LINCOLN DRIVE SOUTHERN ORTHOPEDIC ASSOCIATES SC
Herrin, IL 62948

(618) 997-6800

✔ PECOS✔ Accepts MedicareSame address

John Davis, MD

Orthopedic Surgery

NPI 1063436756

510 LINCOLN DRIVE
Herrin, IL 62948

(618) 997-6800

✔ PECOS✔ Accepts MedicareSame address

Thomas Davis, MD

Orthopedic Surgery

NPI 1295842870

510 LINCOLN DR SOUTHERN ORTHOPEDIC ASSOCIATES SC
Herrin, IL 62948

(618) 997-6800

✔ PECOSSame address

Gunnar Galloway

Physical Therapist in Private Practice

NPI 1447918123

510 LINCOLN DR
Herrin, IL 62948

(618) 997-6800

✔ Accepts MedicareSame address

Robert Golz, MD

Orthopedic Surgery

NPI 1184739716

510 LINCOLN AVE SOUTHERN ORTHOPEDIC ASSOCIATES SC
Herrin, IL 62948

(618) 997-6800

✔ PECOSSame address

Pamela Hunter, PHYSICAL THERAPIST

Physical Therapist in Private Practice

NPI 1164537783

510 LINCOLN AVE SOUTHERN ORTHOPEDIC ASSOCIATES SC
Herrin, IL 62948

(618) 997-6800

✔ Accepts MedicareSame address

Richard Morgan

Orthopedic Surgery

NPI 1972607604

510 LINCOLN AVE SOUTHERN ORTHOPEDIC ASSOCIATES SC
Herrin, IL 62948

(618) 997-6800

✔ PECOSSame address

Eric Osman, PT PHYSICAL THERAPIS

Physical Therapist in Private Practice

NPI 1518152404

510 LINCOLN DRIVE
Herrin, IL 62948

(618) 997-6800

✔ Accepts MedicareSame address

Kimberly Peters, OT

Occupational Therapist in Private Practice

NPI 1568578680

510 LINCOLN DR SOUTHERN ORTHOPEDIC ASSOCIATES SC
Herrin, IL 62948

(618) 997-6800

✔ Accepts MedicareSame address

David Prather

Physical Therapist in Private Practice

NPI 1295511848

510 LINCOLN DR
Herrin, IL 62948

(618) 997-6800

✔ Accepts MedicareSame address

Michelle Steh, APRN

Nurse Practitioner

NPI 1689235715

510 LINCOLN DR
Herrin, IL 62948

(618) 997-6800

✔ PECOS✔ Accepts MedicareSame address

John Wood, MD

Orthopedic Surgery

NPI 1154425882

510 LINCOLN DRIVE SOUTHERN ORTHOPEDIC ASSOCIATES SC
Herrin, IL 62948

(618) 997-6800

✔ PECOSSame address

Steven Young, MD

Orthopedic Surgery

NPI 1215031943

510 LINCOLN DRIVE SOUTHERN ORTHOPEDIC ASSOCIATES SC
Herrin, IL 62948

(618) 997-6800

✔ PECOS✔ Accepts MedicareSame address

David Constantinescu, MD

Orthopedic Surgery

NPI 1750918215

510 LINCOLN DRIVE
Herrin, IL 62948

(618) 997-6800

✔ PECOS✔ Accepts MedicareSame address

Donald Davis, MD

Orthopedic Surgery

NPI 1508353954

510 LINCOLN DRIVE
Herrin, IL 62948

(618) 997-6800

✔ PECOS✔ Accepts MedicareSame address

Dane Elliott, PT

Physical Therapist in Private Practice

NPI 1437301009

510 LINCOLN DRIVE
Herrin, IL 62948

(618) 997-6800

✔ Accepts MedicareSame address

Katharine Frerichs, PT

Physical Therapist in Private Practice

NPI 1740168848

510 LINCOLN DR
Herrin, IL 62948

(618) 997-6800

✔ Accepts MedicareSame address

See all 44 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Orthopedic Associates Sc's NPI number?

The NPI number for Southern Orthopedic Associates Sc is 1396792412. It was assigned to this organization in the NPPES registry on May 27, 2006.

Where is Southern Orthopedic Associates Sc located?

Southern Orthopedic Associates Sc is located at 510 Lincoln Dr, Herrin, IL 62948. The listed phone number is (618) 997-6800.

What is Southern Orthopedic Associates Sc's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Southern Orthopedic Associates Sc enrolled in Medicare?

Yes. Southern Orthopedic Associates Sc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Southern Orthopedic Associates Sc?

According to the CMS Revalidation Reassignment List (October 2026 release), 44 clinicians in 9 Medicare specialties reassign their Medicare billing to Southern Orthopedic Associates Sc. 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 Orthopedic Surgery (17), Nurse Practitioner (8) and Physical Therapist in Private Practice (8). Of these, 21 practice at this address and 27 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Southern Orthopedic Associates Sc accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Anthem Blue Cross and Blue Shield list Southern Orthopedic Associates Sc 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 Orthopedic Associates Sc was last updated on October 4, 2022. 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.