SOUTHERN ONCOLOGY SPECIALISTS, PLLC
NPI 1558879965
Pharmacy - Specialty Pharmacy in Huntersville, NC

Q: What is Southern Oncology Specialists, PLLC's NPI number?

The NPI number for Southern Oncology Specialists, PLLC is 1558879965. It was assigned to this organization in the NPPES registry on January 19, 2018.

Q: What is Southern Oncology Specialists, PLLC's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Specialty Pharmacy, with taxonomy code 3336S0011X.

Active since January 19, 2018

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 08, 2026.

Record update history: Aug 27, 2021, Aug 28, 2020, Jul 5, 2019 and 2 more (5 updates tracked since 2018).

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About Southern Oncology Specialists, Pllc NPPES

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

SOUTHERN ONCOLOGY SPECIALISTS, PLLC (NPI 1558879965) is a healthcare organization registered as a specialty pharmacy in Huntersville, North Carolina and active in the NPI registry since January 2018. The organization lists William R Mitchell, President, as its authorized official.

NPPES Registry Identity

NPI1558879965

Entity TypeOrganization

Primary Taxonomy3336S0011X

Legal Business NameSOUTHERN ONCOLOGY SPECIALISTS, PLLC

Location Address9930 KINCEY AVE STE 165Huntersville, NC 28078-6541

Mailing Address9930 Kincey Ave Ste 165Huntersville, NC 28078-6541 · (704) 947-5005 · Fax (877) 881-8455

Phone(704) 947-5005

Fax(877) 881-8455

Organization SubpartNo

Authorized OfficialWilliam R MitchellPresident · (704) 659-7848

Enumeration DateJanuary 19, 2018

Last NPPES UpdateAugust 27, 20215 updates tracked since enumeration

NPPES CertifiedAugust 27, 2021

✔ NPI 1558879965 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacy · Specialty PharmacySuppliers

Taxonomy Code3336S0011X

Definition

A pharmacy that dispenses generally low volume and high cost medicinal preparations to patients who are undergoing intensive therapies for illnesses that are generally chronic, complex and potentially life threatening. Often these therapies require specialized delivery and administration.

Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X

Also ListedPharmacy · Community/Retail PharmacyTaxonomy 3336C0003X · License 13089 (NC)

9930 KINCEY AVE STE 165, Huntersville, NC 28078

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arkansas Health & Wellness and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status 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).

Medicare Revalidation Due Date

Revalidation due by March 31, 2027

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

StateNorth CarolinaEnrollment IDO20180525002001DME · PharmacyDue dateMarch 31, 2027

Source: CMS Revalidation Due Date List, October 2026 release.

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.

SOUTHERN ONCOLOGY SPECIALISTS, PLLC

Internal Medicine (Hematology & Oncology)