SOUTHERN SPECIALTY PHYSICIANS LLC
NPI 1669007795
Surgery - Vascular Surgery in Montgomery, AL
About Southern Specialty Physicians Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SOUTHERN SPECIALTY PHYSICIANS LLC (NPI 1669007795) is a healthcare organization registered as a vascular surgery in Montgomery, Alabama and active in the NPI registry since March 2020. The organization holds a CLIA Waiver certificate valid through April 20, 2028, maintains 3 additional practice locations, and lists Brian Lee Sellers, Member, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 3
Group Practice 1
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 Specialty Physicians Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Southern Specialty Physicians LLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.
Clinicians, nearest first (3)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 01D2182443
Southern Specialty Physicians, LLC · Montgomery, ALFrequently 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 Specialty Physicians LLC's NPI number?
The NPI number for Southern Specialty Physicians LLC is 1669007795. It was assigned to this organization in the NPPES registry on March 9, 2020.
Where is Southern Specialty Physicians LLC located?
Southern Specialty Physicians LLC is located at 7085 Sydney Curv, Montgomery, AL 36117. The listed phone number is (334) 246-4774.
What is Southern Specialty Physicians LLC's specialty?
The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.
Is Southern Specialty Physicians LLC enrolled in Medicare?
Yes. Southern Specialty Physicians LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Southern Specialty Physicians LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Southern Specialty Physicians LLC, in Nurse Practitioner, Podiatry and Vascular Surgery. 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, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Southern Specialty Physicians LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 01D2182443) is associated with this NPI, valid through April 20, 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 Specialty Physicians LLC was last updated on September 22, 2021. 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.
# Southern Specialty Physicians Llc · NPI 1669007795
Vascular Surgery organization in Montgomery, Alabama. Organization record, active in the CMS NPPES registry since March 9, 2020.
## Identity
- **NPI:** 1669007795 (Entity type: Organization)
- **Enumerated:** March 9, 2020
- **Primary specialty:** Surgery - Vascular Surgery · taxonomy 2086S0129X
- **Organization subpart:** No
- **Authorized official:** Brian Sellers, MEMBER
## Practice location
- **Address:** 7085 SYDNEY CURV, Montgomery, AL 36117-3509
- **Phone:** (334) 246-4774 · **Fax:** (833) 963-2439
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (1), Podiatry (1), Vascular Surgery (1); 3 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 22, 2021
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1669007795) · Data from the CMS NPPES public registry.