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SOUTHERN MEDICAL CORPORATION
NPI 1558340083
Specialist/Technologist Cardiovascular - Sonography in Baton Rouge, LA

Active since January 12, 2006
12133 INDUSTRIPLEX BLVD, BATON ROUGE, LA 70809(225) 756-5239(225) 752-2614 Get Directions Write a Review

NPPES record last updated: June 28, 2013. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Southern Medical Corporation NPPES

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

SOUTHERN MEDICAL CORPORATION (NPI 1558340083) is a healthcare organization registered as a sonography in Baton Rouge, Louisiana and active in the NPI registry since January 2006. The organization lists David P Melancon, Coo/cfo, as its authorized official.

NPPES Registry Identity

NPI1558340083
Entity TypeOrganization
Primary Taxonomy246XS1301X
Legal Business NameSOUTHERN MEDICAL HOLDING CORPORATION
Location Address12133 INDUSTRIPLEX BLVDBaton Rouge, LA 70809-5129
Mailing Address12133 Industriplex BlvdBaton Rouge, LA 70809-5129 · (225) 756-5239 · Fax (225) 752-2614
Phone(225) 756-5239
Fax(225) 752-2614
Organization SubpartNo
Authorized OfficialDavid P MelanconCoo/cfo · (225) 756-5239
Enumeration DateJanuary 12, 2006
Last NPPES UpdateJune 28, 2013
✔ NPI 1558340083 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist/Technologist Cardiovascular · SonographyTechnologists, Technicians & Other Technical Service Providers
Taxonomy Code246XS1301X
License✔ Licensed in LA · 170011032
12133 INDUSTRIPLEX BLVD, Baton Rouge, LA 70809
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Other Names 1

Doing Business AsSouthern Medical Corporation

Other Identifiers 7

OtherC3563LA · Blue Cross Prov.number
Medicare ID-Type Unspecified630001714LA · Rail Road X-ray Prov.no.
Medicare ID-Type Unspecified001013514MO · Provider Number
Medicare ID-Type Unspecified470001731LA · Rail Road Provider Number
Medicaid1121894LA
Medicaid506047901MO
Medicare ID-Type Unspecified5C440LA · Provider 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

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Southern Medical Corporation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date 2

Next revalidation due by October 31, 2026

This provider holds 2 Medicare enrollments with upcoming revalidation dates. Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateLouisianaEnrollment IDO20040901000335Non-DME Part B · Independent Diagnostic Testing Facility (IDTF)Due dateOctober 31, 2026
StateMississippiEnrollment IDO20050208000260Non-DME Part B · Independent Diagnostic Testing Facility (IDTF)Due dateNovember 30, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Ultrasound study of one arm or leg veins with compression and maneuvers 93971
This is a non-invasive procedure using sound waves to visualize veins in an arm or leg. It involves applying gentle pressure and performing certain movements. It helps identify any abnormal blood flow or clots, ensuring vascular health.
88 services78 patients
Ultrasound study of arm or leg veins with compression and maneuvers 93970
An ultrasound study of arm or leg veins with compression and maneuvers is a non-invasive procedure that uses sound waves to create images of your veins. This helps identify blood clots or other vein problems. During the procedure, pressure is applied to the veins and certain movements are performed to assess blood flow.
39 services38 patients
Ultrasound of leg arteries or artery grafts 93925
An ultrasound of leg arteries or artery grafts is a non-invasive imaging test. It uses high-frequency sound waves to capture live images from inside your body, specifically your leg arteries or grafts. This helps in detecting any blockages or abnormalities.
26 services26 patients
Complete ultrasound scan of abdomen 76700
A complete ultrasound scan of the abdomen is a non-invasive imaging procedure. It uses sound waves to produce images of the organs in your abdomen, such as the liver, gallbladder, spleen, pancreas, and kidneys. It helps in diagnosing, monitoring, and planning treatments.
21 services20 patients
Ultrasound of one leg arteries or artery grafts 93926
An ultrasound of leg arteries or artery grafts is a non-invasive test using sound waves to create images of your blood vessels. This helps doctors assess blood flow, identify blockages, and monitor the health of grafts.
17 services17 patients
Complete ultrasound scan behind abdominal cavity 76770
A complete ultrasound scan behind the abdominal cavity is a non-invasive imaging procedure. It uses sound waves to create pictures of the structures and organs located at the back of your abdomen. It helps in diagnosing health conditions and monitoring ongoing treatments.
16 services15 patients

Other Providers at the Same Location NPPES 2

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

WNF MEDICAL, LLC
Durable Medical Equipment & Medical Supplies
12133 INDUSTRIPLEX BLVD
BATON ROUGE, LA 70809
East Baton Rouge Parish (225) 215-0690
AMERICAN DIAGNOSTIC TECHNOLOGIES, LLC
Physiological Laboratory
12133 INDUSTRIPLEX BLVD
BATON ROUGE, LA 70809
East Baton Rouge Parish (225) 293-2276

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 Medical Holding Corporation's NPI number?

The NPI number for Southern Medical Holding Corporation is 1558340083. It was assigned to this organization in the NPPES registry on January 12, 2006. The provider is doing business as Southern Medical Corporation.

Where is Southern Medical Holding Corporation located?

Southern Medical Holding Corporation is located at 12133 Industriplex Blvd, Baton Rouge, LA 70809. The listed phone number is (225) 756-5239.

What is Southern Medical Holding Corporation's specialty?

The primary specialty registered for this NPI is Specialist/Technologist Cardiovascular, specializing in Sonography, with taxonomy code 246XS1301X.

Is Southern Medical Holding Corporation enrolled in Medicare?

Yes. Southern Medical Holding Corporation is registered in the Medicare PECOS enrollment system.

When is Southern Medical Holding Corporation's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), Southern Medical Holding Corporation holds 2 Medicare enrollments with upcoming revalidation dates. The next is due by October 31, 2026 (Non-DME Part B, Louisiana, Independent Diagnostic Testing Facility (IDTF)). Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

When was this NPI record last updated?

The NPPES record for Southern Medical Holding Corporation was last updated on June 28, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.