SOUTHERN ORTHOPEDIC SPINE SURGERY, LLC
NPI 1689179053
Orthopaedic Surgery in Panama City, FL

Q: What is Southern Orthopedic Spine Surgery, LLC's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Active since March 28, 2018

1399 JENKS AVE BLDG G, PANAMA CITY, FL 32401(850) 771-2001(850) 215-4229 Get Directions Write a Review

NPPES record last updated: November 6, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 6, 2018, Apr 25, 2018, Mar 28, 2018 (3 updates tracked since 2018).

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About Southern Orthopedic Spine Surgery, Llc NPPES

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

SOUTHERN ORTHOPEDIC SPINE SURGERY, LLC (NPI 1689179053) is a healthcare organization registered as an orthopaedic surgery in Panama City, Florida and active in the NPI registry since March 2018. The organization lists Cory R. Gaiser, Owner, as its authorized official.

NPPES Registry Identity

NPI1689179053

Entity TypeOrganization

Primary Taxonomy207X00000X

Legal Business NameSOUTHERN ORTHOPEDIC SPINE SURGERY, LLC

Location Address1399 JENKS AVE BLDG GPanama City, FL 32401-2442

Mailing Address1399 Jenks Ave Bldg GPanama City, FL 32401-2442 · (850) 771-2001 · Fax (850) 215-4229

Phone(850) 771-2001

Fax(850) 215-4229

Organization SubpartNo

Authorized OfficialCory R. GaiserOwner · (850) 771-2001

Enumeration DateMarch 28, 2018

Last NPPES UpdateNovember 6, 20183 updates tracked since enumeration

✔ NPI 1689179053 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207X00000X

Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

1399 JENKS AVE BLDG G, Panama City, FL 32401

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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).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 Orthopedic Spine Surgery, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 3 clinicians reassign Medicare billing to Southern Orthopedic Spine Surgery, 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)

Cory Gaiser, D.O.

Orthopedic Surgery

NPI 1386689867

1399 JENKS AVE BLDG G
Panama City, FL 32401

(850) 771-2001

✔ PECOS✔ Accepts MedicareSame address

Julia Hales, APRN, MSN, FNP-C

Nurse Practitioner

NPI 1376178632

1399 JENKS AVE
Panama City, FL 32401

(850) 771-2001

✔ PECOS✔ Accepts MedicareSame address

Robert Mead, M.D.

Orthopedic Surgery

NPI 1700223278

1399 JENKS AVE STE G
Panama City, FL 32401

(850) 771-2001

✔ PECOS✔ Accepts MedicareSame address

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 Orthopedic Spine Surgery, LLC's NPI number?

The NPI number for Southern Orthopedic Spine Surgery, LLC is 1689179053. It was assigned to this organization in the NPPES registry on March 28, 2018.

Where is Southern Orthopedic Spine Surgery, LLC located?

Southern Orthopedic Spine Surgery, LLC is located at 1399 Jenks Ave Bldg G, Panama City, FL 32401. The listed phone number is (850) 771-2001.

What is Southern Orthopedic Spine Surgery, LLC's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Southern Orthopedic Spine Surgery, LLC enrolled in Medicare?

Yes. Southern Orthopedic Spine Surgery, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Southern Orthopedic Spine Surgery, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Southern Orthopedic Spine Surgery, LLC, in Nurse Practitioner and Orthopedic 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.

What insurance does Southern Orthopedic Spine Surgery, LLC accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Southern Orthopedic Spine Surgery, LLC 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 Orthopedic Spine Surgery, LLC was last updated on November 6, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.