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SOUTHERN SURGICAL ARTS
NPI 1912258740
Dentist - Oral and Maxillofacial Surgery in Tyler, TX

Active since September 19, 2012
2550 ELKTON TRL, TYLER, TX 75703(903) 534-1414(903) 534-1415 Get Directions Write a Review

NPPES record last updated: December 26, 2013. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Southern Surgical Arts NPPES

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

SOUTHERN SURGICAL ARTS (NPI 1912258740) is a healthcare organization registered as an oral and maxillofacial surgery in Tyler, Texas and active in the NPI registry since September 2012. The organization lists Charles G Stone, Owner/officer, as its authorized official.

NPPES Registry Identity

NPI1912258740
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameSTONE ORAL FACIAL SURGERY GROUP PLLC
Location Address2550 ELKTON TRLTyler, TX 75703-0594
Mailing Address2550 Elkton TrlTyler, TX 75703-0594 · (903) 534-1414 · Fax (903) 534-1415
Phone(903) 534-1414
Fax(903) 534-1415
Organization SubpartNo
Authorized OfficialCharles G StoneOwner/officer · (903) 534-1414
Enumeration DateSeptember 19, 2012
Last NPPES UpdateDecember 26, 2013
✔ NPI 1912258740 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
2550 ELKTON TRL, Tyler, TX 75703
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Other Names 1

Doing Business AsSouthern Surgical Arts

Other Identifiers 15

Medicaid1896953-06TX
Medicaid3099020-01TX
Medicare PIN260458TX
Medicare PIN260495YLHJTX
Medicaid1206989-09TX
Medicaid1305898-08TX
Medicaid1305898-09TX
Medicaid3126690-03TX
Medicaid1206989-08TX
Medicaid2032740-06TX
Medicare PIN260510LYHJTX
Medicare PIN260507YLHJTX
Medicaid2032740-07TX
Medicare PIN260516YLHJTX
Medicaid1896953-05TX

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)

Southern Surgical Arts is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Southern Surgical Arts, which bills Medicare for the services they deliver. Of these, 3 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Wade Barker, DDS MD
Oral Surgery
NPI 1740612084
2550 ELKTON TRL
Tyler, TX 75703
(903) 534-1414
✔ PECOS✔ Accepts Medicare3.0 mi
Charles Stone, DDS
Oral Surgery
NPI 1841219342
3100 NEW COPELAND RD
Tyler, TX 75701
(903) 597-2848
✔ PECOS✔ Accepts Medicare3.6 mi
Brian Stone, D.D.S., M.D.
Maxillofacial Surgery
NPI 1265650071
700 OLYMPIC PLAZA CIR STE 412
Tyler, TX 75701
(903) 595-5186
✔ PECOS✔ Accepts Medicare5.0 mi

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 Stone Oral Facial Surgery Group PLLC's NPI number?

The NPI number for Stone Oral Facial Surgery Group PLLC is 1912258740. It was assigned to this organization in the NPPES registry on September 19, 2012. The provider is doing business as Southern Surgical Arts.

Where is Stone Oral Facial Surgery Group PLLC located?

Stone Oral Facial Surgery Group PLLC is located at 2550 Elkton Trl, Tyler, TX 75703. The listed phone number is (903) 534-1414.

What is Stone Oral Facial Surgery Group PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Stone Oral Facial Surgery Group PLLC enrolled in Medicare?

Yes. Stone Oral Facial Surgery Group PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Stone Oral Facial Surgery Group PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Stone Oral Facial Surgery Group PLLC, in Maxillofacial Surgery and Oral 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 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Stone Oral Facial Surgery Group PLLC was last updated on December 26, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.