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SOUTHERN SURGICAL ASSOCIATES, PC
NPI 1497936785
Surgery in Lawrenceville, GA

Active since November 15, 2007
743 OLD NORCROSS RD, LAWRENCEVILLE, GA 30046(770) 513-1763 Get Directions Write a Review

NPPES record last updated: May 3, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Southern Surgical Associates, Pc NPPES

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

SOUTHERN SURGICAL ASSOCIATES, PC (NPI 1497936785) is a healthcare organization registered as a surgery in Lawrenceville, Georgia and active in the NPI registry since November 2007. The organization lists Kevin L Jensen, President, as its authorized official.

NPPES Registry Identity

NPI1497936785
Entity TypeOrganization
Primary Taxonomy208600000X
Legal Business NameSOUTHERN SURGICAL ASSOCIATES, PC
Location Address743 OLD NORCROSS RDLawrenceville, GA 30046-4317
Mailing Address743 Old Norcross RdLawrenceville, GA 30046-4317 · (770) 513-1763 · Fax (770) 513-2199
Phone(770) 513-1763
Organization SubpartNo
Authorized OfficialKevin L JensenPresident · (770) 513-1763
Enumeration DateNovember 15, 2007
Last NPPES UpdateMay 3, 2016
✔ NPI 1497936785 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
743 OLD NORCROSS RD, Lawrenceville, GA 30046
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Other Identifiers 1

OtherGRP2433GA · Medicare Group Number

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 Absolute Total Care, Ambetter Health, Ambetter of Alabama 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 Surgical Associates, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Southern Surgical Associates, PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Kevin Jensen, M.D.
General Surgery
NPI 1497855779
743 OLD NORCROSS RD
Lawrenceville, GA 30046
(770) 513-1763
✔ PECOS✔ Accepts MedicareSame address

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 Surgical Associates, PC's NPI number?

The NPI number for Southern Surgical Associates, PC is 1497936785. It was assigned to this organization in the NPPES registry on November 15, 2007.

Where is Southern Surgical Associates, PC located?

Southern Surgical Associates, PC is located at 743 Old Norcross Rd, Lawrenceville, GA 30046. The listed phone number is (770) 513-1763.

What is Southern Surgical Associates, PC's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Southern Surgical Associates, PC enrolled in Medicare?

Yes. Southern Surgical Associates, PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Southern Surgical Associates, PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (General Surgery) reassigns their Medicare billing to Southern Surgical Associates, PC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Southern Surgical Associates, PC accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Southern Surgical Associates, PC 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 Surgical Associates, PC was last updated on May 3, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.