SOUTHERN SURGICAL PROVIDERS, P.C.
NPI 1619203809
Surgery in Springfield, GA
About Southern Surgical Providers, P.c. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SOUTHERN SURGICAL PROVIDERS, P.C. (NPI 1619203809) is a healthcare organization registered as a surgery in Springfield, Georgia and active in the NPI registry since October 2009. The organization lists Robert Alexander Wynn, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Group Practice 1
Accepted 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 Providers, P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Southern Surgical Providers, P.C., which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.
Clinicians, nearest first (2)
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 Providers, P.C.'s NPI number?
The NPI number for Southern Surgical Providers, P.C. is 1619203809. It was assigned to this organization in the NPPES registry on October 23, 2009.
Where is Southern Surgical Providers, P.C. located?
Southern Surgical Providers, P.C. is located at 459 Highway 119 S, Springfield, GA 31329. The listed phone number is (912) 754-0382.
What is Southern Surgical Providers, P.C.'s specialty?
The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.
Is Southern Surgical Providers, P.C. enrolled in Medicare?
Yes. Southern Surgical Providers, P.C. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Southern Surgical Providers, P.C.?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Southern Surgical Providers, P.C., in General Surgery and Nurse Practitioner. 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. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Southern Surgical Providers, P.C. 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 Providers, P.C. 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 Providers, P.C. was last updated on September 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Southern Surgical Providers, P.c. · NPI 1619203809
Surgery organization in Springfield, Georgia. Organization record, active in the CMS NPPES registry since October 23, 2009.
## Identity
- **NPI:** 1619203809 (Entity type: Organization)
- **Enumerated:** October 23, 2009
- **Primary specialty:** Surgery · taxonomy 208600000X
- **Organization subpart:** No
- **Authorized official:** Robert Wynn, PRESIDENT
## Practice location
- **Address:** 459 HIGHWAY 119 S, Springfield, GA 31329-3021
- **Phone:** (912) 754-0382 · **Fax:** (912) 754-0382
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: General Surgery (1), Nurse Practitioner (1); 1 practice at this address and 2 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 28, 2024
- **Other identifiers:** Medicaid 264241741A (GA)
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Source: [NPI Profile](https://npiprofile.com/npi/1619203809) · Data from the CMS NPPES public registry.