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SOUTHERN SURGICAL ASSOCIATES LLC
NPI 1619026713
Surgery in Tuscaloosa, AL

Active since January 09, 2007CLIA 01D1085143 · Waiver
1060 FAIRFAX PARK, SUITE B, TUSCALOOSA, AL 35406(207) 758-6471(205) 758-6472 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Southern Surgical Associates Llc NPPES

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

SOUTHERN SURGICAL ASSOCIATES LLC (NPI 1619026713) is a healthcare organization registered as a surgery in Tuscaloosa, Alabama and active in the NPI registry since January 2007. The organization holds a CLIA Waiver certificate valid through June 10, 2028 and lists Ahmed S Farah, Owner, as its authorized official.

NPPES Registry Identity

NPI1619026713
Entity TypeOrganization
Primary Taxonomy208600000X
Legal Business NameSOUTHERN SURGICAL ASSOCIATES LLC
Location Address1060 FAIRFAX PARK, SUITE BTuscaloosa, AL 35406
Mailing Address1060 Fairfax Park, Suite BTuscaloosa, AL 35406 · (207) 758-6471 · Fax (205) 758-6472
Phone(207) 758-6471
Fax(205) 758-6472
Organization SubpartNo
Authorized OfficialAhmed S FarahOwner · (205) 758-6471
Enumeration DateJanuary 9, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1619026713 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in AL · 18902
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.
1060 FAIRFAX PARK, Tuscaloosa, AL 35406
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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

CLIA Laboratory Certificates CMS CLIA

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 Waiver 01D1085143

Southern Surgical Associates LLC · Tuscaloosa, AL
Active · expires Jun 10, 2028
CLIA Number01D1085143
Laboratory TypePhysician Office
Certificate Effective DateJune 11, 2026
Certificate Expiration DateJune 10, 2028
Laboratory DirectorLena I. Bedri MD
Laboratory Phone(205) 758-6471
Laboratory LocationSouthern Surgical Associates LLC535 Jack Warner Parkway NE Ste K, Tuscaloosa, AL 35404
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 7

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

BRUCE A PETITT M.D. P.C.
Pediatrics
1060 FAIRFAX PARK, SUITE C
TUSCALOOSA, AL 35406
Tuscaloosa County (205) 752-7337
BASSAM MUSHANNEN MD
Internal Medicine (Cardiovascular Disease)
1060 FAIRFAX PARK, STE B
TUSCALOOSA, AL 35406
Tuscaloosa County (205) 758-6471
RAGHDA YAHYA MD
Pediatrics
1060 FAIRFAX PARK, STE B
TUSCALOOSA, AL 35406
Tuscaloosa County (205) 758-6471
MR. AHMED SALEH FARAH MD
Surgery
1060 FAIRFAX PARK, STE B
TUSCALOOSA, AL 35406
Tuscaloosa County (205) 758-6471
JILL MARIE PICONE CRNP
Nurse Practitioner (Family)
1060 FAIRFAX PARK, SUITE C
TUSCALOOSA, AL 35406
Tuscaloosa County (205) 752-7337
DR. BRUCE A PETITT M.D.
Pediatrics
1060 FAIRFAX PARK, SUITE C
TUSCALOOSA, AL 35406
Tuscaloosa County (205) 752-7337
MRS. TASHIA N ISLAM PA
Physician Assistant (Medical)
1060 FAIRFAX PARK, SUITE B
TUSCALOOSA, AL 35406
Tuscaloosa County (205) 758-6471

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 LLC's NPI number?

The NPI number for Southern Surgical Associates LLC is 1619026713. It was assigned to this organization in the NPPES registry on January 9, 2007.

Where is Southern Surgical Associates LLC located?

Southern Surgical Associates LLC is located at 1060 Fairfax Park Suite B, Tuscaloosa, AL 35406. The listed phone number is (207) 758-6471.

What is Southern Surgical Associates LLC's specialty?

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

Does Southern Surgical Associates LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 01D1085143) is associated with this NPI, valid through June 10, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Southern Surgical Associates LLC was last updated on August 22, 2020. 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.