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THE VEIN CLINIC AND MEDISPA
NPI 1700905593
Specialist in Dublin, GA

Active since March 29, 2007
2406 BELLEVUE RD, #11 ERIN OFFICE PARK, DUBLIN, GA 31021(478) 275-2454(478) 275-0991 Get Directions Write a Review

NPPES record last updated: August 1, 2007. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About The Vein Clinic And Medispa NPPES

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

THE VEIN CLINIC AND MEDISPA (NPI 1700905593) is a healthcare organization registered as a specialist in Dublin, Georgia and active in the NPI registry since March 2007. The organization lists William (bill) H Moses, Owner, as its authorized official.

NPPES Registry Identity

NPI1700905593
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameSOUTHERN SURGICAL PC
Location Address2406 BELLEVUE RD, #11 ERIN OFFICE PARKDublin, GA 31021-2842
Mailing AddressPo Box 10Dublin, GA 31040-0010 · (478) 275-2454 · Fax (478) 275-0991
Phone(478) 275-2454
Fax(478) 275-0991
Organization SubpartNo
Authorized OfficialWilliam (bill) H MosesOwner · (478) 275-2454
Enumeration DateMarch 29, 2007
Last NPPES UpdateAugust 1, 2007
✔ NPI 1700905593 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
2406 BELLEVUE RD, Dublin, GA 31021
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Other Names 1

Doing Business AsThe Vein Clinic And Medispa

Other Identifiers 2

Medicare ID-Type UnspecifiedGRP6076GA · Group Provider #
Other2524982GA · Unitedhealth Care Group #

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

The Vein Clinic And Medispa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to The Vein Clinic And Medispa, which bills Medicare for the services this clinician delivers.

Clinician (1)

John Polhill, MD
General Surgery
NPI 1841208279
2406 BELLEVUE RD 11 ERIN OFFICE PARK
Dublin, GA 31021
(478) 275-2454
✔ 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 Surgical PC's NPI number?

The NPI number for Southern Surgical PC is 1700905593. It was assigned to this organization in the NPPES registry on March 29, 2007. The provider is doing business as The Vein Clinic And Medispa.

Where is Southern Surgical PC located?

Southern Surgical PC is located at 2406 Bellevue Rd #11 Erin Office Park, Dublin, GA 31021. The listed phone number is (478) 275-2454.

What is Southern Surgical PC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Southern Surgical PC enrolled in Medicare?

Yes. Southern Surgical PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Southern Surgical PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (General Surgery) reassigns their Medicare billing to Southern Surgical PC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Southern Surgical PC was last updated on August 1, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.