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SOUTHPORT SURGICAL ASSOCIATES, P.A.
NPI 1760693618
Surgery in Southport, NC

Active since May 24, 2007
621B N FODALE AVE, SOUTHPORT, NC 28461(910) 457-1880 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Southport Surgical Associates, P.a. NPPES

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

SOUTHPORT SURGICAL ASSOCIATES, P.A. (NPI 1760693618) is a healthcare organization registered as a surgery in Southport, North Carolina and active in the NPI registry since May 2007. The organization lists Larry Felix Weisner, President, as its authorized official.

NPPES Registry Identity

NPI1760693618
Entity TypeOrganization
Primary Taxonomy208600000X
Legal Business NameSOUTHPORT SURGICAL ASSOCIATES, P.A.
Location Address621B N FODALE AVESouthport, NC 28461-3550
Mailing Address621b N Fodale AveSouthport, NC 28461-3550 · (910) 457-1880
Phone(910) 457-1880
Organization SubpartNo
Authorized OfficialLarry Felix WeisnerPresident · (910) 457-1880
Enumeration DateMay 24, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1760693618 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in NC · 9400669
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.
621B N FODALE AVE, Southport, NC 28461
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Other Identifiers 1

Medicaid790156QNC

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

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 Southport Surgical Associates, P.A.'s NPI number?

The NPI number for Southport Surgical Associates, P.A. is 1760693618. It was assigned to this organization in the NPPES registry on May 24, 2007.

Where is Southport Surgical Associates, P.A. located?

Southport Surgical Associates, P.A. is located at 621B N Fodale Ave, Southport, NC 28461. The listed phone number is (910) 457-1880.

What is Southport Surgical Associates, P.A.'s specialty?

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

When was this NPI record last updated?

The NPPES record for Southport Surgical Associates, P.A. 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.