SOUTHERN SURGERY CENTER, LLC
NPI 1912906157
Clinic/Center - Ambulatory Surgical in Hattiesburg, MS

Q: What is Southern Surgery Center, LLC's NPI number?

The NPI number for Southern Surgery Center, LLC is 1912906157. It was assigned to this organization in the NPPES registry on July 19, 2005.

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

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Active since July 19, 2005CLIA 25D0974912 · Waiver

3688 VETERANS MEMORIAL DR, SUITE 100, HATTIESBURG, MS 39401(601) 554-7525(601) 554-7574 Get Directions Write a Review

NPPES record last updated: December 28, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Southern Surgery Center, Llc NPPES

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

SOUTHERN SURGERY CENTER, LLC (NPI 1912906157) is a healthcare organization registered as an ambulatory surgical in Hattiesburg, Mississippi and active in the NPI registry since July 2005. The organization holds a CLIA Waiver certificate valid through June 19, 2028 and lists David M. Burckel, Ceo, as its authorized official.

NPPES Registry Identity

NPI1912906157

Entity TypeOrganization

Primary Taxonomy261QA1903X

Legal Business NameSOUTHERN SURGERY CENTER, LLC

Location Address3688 VETERANS MEMORIAL DR, SUITE 100Hattiesburg, MS 39401-8246

Mailing Address3688 Veterans Memorial Dr, Suite 100Hattiesburg, MS 39401-8246 · (601) 554-7525 · Fax (601) 554-7574

Phone(601) 554-7525

Fax(601) 554-7574

Organization SubpartNo

Authorized OfficialDavid M. BurckelCeo · (601) 554-7525

Enumeration DateJuly 19, 2005

Last NPPES UpdateDecember 28, 2009

✔ NPI 1912906157 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities

Taxonomy Code261QA1903X

License✔ Licensed in MS · 015

3688 VETERANS MEMORIAL DR, Hattiesburg, MS 39401

Open in Google Maps ↗

Other Identifiers 3

Medicare ID-Type Unspecified490000021MS · Medicare Provider Number

Medicaid00770390MS

Other000050871MS · Blue Cross & Blue Shield

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health Plan, Inc., UnitedHealthcare.Insurance ›

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 25D0974912

Southern Surgery Center · Hattiesburg, MS

Active · expires Jun 19, 2028

CLIA Number25D0974912

Laboratory TypeAmbulatory Surgery Center

Certificate Effective DateJune 20, 2026

Certificate Expiration DateJune 19, 2028

Laboratory DirectorDr. Neal Gregg

Laboratory Phone(601) 554-7558

Laboratory LocationSouthern Surgery Center3688 Veterans Memorial Drive 1st Floor Ste 100, Hattiesburg, MS 39401

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 38

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Injection of lower or sacral spine facet joint using imaging guidance, single level 64493

This procedure involves injecting medication into the facet joint in your lower back or sacral spine. It's done under imaging guidance to ensure accuracy. The aim is to alleviate pain and inflammation. It's a safe, often effective method for managing spinal discomfort.

782 services234 patients

Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level 64483

This procedure involves injecting a mix of numbing and anti-inflammatory medication into a specific nerve root in the lower back. It helps manage pain and reduce inflammation. The process is guided by imaging technology for precision.

683 services463 patients

Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint 64635

This procedure involves using imaging guidance to accurately target and destroy nerves in the lower or sacral spinal facet joint. It's done to relieve chronic back pain. The process is safe and usually effective.

494 services243 patients

Injection of substance into lower spine canal using imaging guidance 62323

This procedure involves injecting a substance into your lower spine canal, guided by real-time images. It's done to diagnose or treat various conditions. You may feel slight discomfort, but it's generally safe and can provide valuable information for your treatment plan.

351 services300 patients

Injection of upper or middle spine facet joint using imaging guidance, single level 64490

This procedure involves injecting medication into a joint in your upper or middle spine. It's performed under imaging guidance for precision. The aim is to reduce inflammation and pain. It's a single-level process, meaning one joint is treated at a time.

263 services85 patients

Injection of substance into middle or upper spine canal using imaging guidance 62321

This procedure involves injecting a substance into your middle or upper spine canal. It's performed under imaging guidance to ensure accuracy. The substance can help diagnose or treat various conditions, providing relief from symptoms.

215 services177 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

166 services141 patients

Injection of cell or tissue-based material into spinal disc of lower back accessed through skin, first level 0627T

This procedure involves injecting cell or tissue-based material into a spinal disc in the lower back. It's done through the skin and aims to treat back pain or disc problems. It's a minimally invasive procedure, often performed under local anesthesia.

164 services77 patients

Replacement of knee joint, both sides of knee 27447

A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.

163 services152 patients

Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography G0260

This procedure involves injecting medicine into the sacroiliac joint, located in the lower back. The aim is to reduce inflammation and pain. Anesthetic is used for immediate pain relief, while a steroid helps decrease inflammation over time. Arthrography, a type of imaging, may be used for precision.

148 services110 patients

Destruction of upper or middle spinal facet joint nerves using imaging guidance, single facet joint 64633

This procedure involves the use of imaging technology to guide a needle to the nerves of a single facet joint in the upper or middle spine. The nerves are then treated to alleviate pain and improve mobility.

128 services68 patients

Release and/or relocation of hand nerve 64721

This procedure involves adjusting or moving a nerve in your hand to alleviate discomfort or improve function. The nerve may be compressed, causing pain or numbness. By releasing or relocating the nerve, these symptoms can be reduced, enhancing hand usage.

104 services93 patients

Insertion of spinal neurostimulator electrode array through skin 63650

This procedure involves placing a small device, called a neurostimulator electrode array, under your skin near your spine. It delivers mild electrical signals to your spinal cord, helping to manage chronic pain.

96 services46 patients

Incision of tendon covering of finger 26055

This procedure involves making a small cut into the protective sheath around a finger tendon. It's typically done to relieve pressure or inflammation, improve finger movement, or treat conditions like trigger finger. It's a safe, often outpatient procedure.

83 services60 patients

Injection of anesthetic agent and/or steroid into other nerve or branch 64450

This procedure involves injecting an anesthetic agent or steroid into a specific nerve or its branch. The goal is to relieve pain by reducing inflammation and numbing the area. It is commonly used for chronic pain management. The process is safe and usually quick.

71 services68 patients

Correction of toe joint deformity 28285

Correction of toe joint deformity is a procedure to fix misshapen toe joints. This can involve realigning the bones, removing bone or tissue, or implanting devices to improve joint function. It can help reduce pain and improve mobility.

60 services33 patients

Removal of knee cartilage using an endoscope 29881

This procedure, known as arthroscopic knee surgery, involves using a small camera (endoscope) to view the inside of your knee. Small instruments are used to remove damaged cartilage. This can help alleviate pain and improve knee function.

55 services54 patients

Repair of shoulder rotator cuff using an endoscope 29827

This procedure, known as arthroscopic rotator cuff repair, helps fix tears in the shoulder's rotator cuff. An endoscope, a small camera, is used to view the shoulder inside. Using small tools, the surgeon repairs the torn tissue. This minimally invasive approach often leads to a quicker recovery.

54 services54 patients

Removal of bone from lower spine for decompression of nerve tissue using imaging guidance, accessed through the skin 0275T

This procedure involves removing a small portion of bone from your lower spine. The goal is to relieve pressure on your nerve tissue, improving comfort and mobility. It is done through the skin using imaging technology to ensure precision and safety.

52 services51 patients

Insertion or replacement of spinal neurostimulator generator or receiver 63685

The insertion of a spinal neurostimulator generator or receiver is a procedure to manage chronic pain. A small device is implanted under your skin, which sends mild electrical signals to your spinal cord. These signals disrupt pain signals, helping to reduce discomfort.

48 services47 patients

Partial removal of collar bone at shoulder using an endoscope 29824

This procedure involves the partial removal of the collar bone at the shoulder using an endoscope, a tool with a light and camera. It's done to relieve pain or improve shoulder movement. The surgeon makes small incisions, then uses the endoscope to guide their work.

37 services37 patients

Removal of both knee cartilages using an endoscope 29880

This procedure, also known as bilateral knee arthroscopy, involves using a small camera (endoscope) to view and remove damaged cartilage from both knees. It's a minimally invasive surgery aimed at relieving pain and improving mobility.

35 services35 patients

Fusion of big toe at joint with foot 28750

Fusion of the big toe at the joint with the foot, also known as arthrodesis, is a surgical procedure aimed at relieving pain and improving stability. It involves permanently connecting the bones of the big toe and foot, which can limit movement but often enhances comfort and function.

30 services29 patients

Removal of spine bone for insertion of neurostimulator electrode plate in spine 63655

This procedure involves removing a small part of the spine bone to place a neurostimulator electrode plate. This device can help manage pain signals from the spine to the brain, improving comfort and quality of life. The process is performed by skilled surgeons in a safe environment.

29 services29 patients

Fusion of spine in lower back 22612

Fusion of the spine in the lower back, also known as lumbar spinal fusion, is a surgery aimed to join, or fuse, two or more vertebrae in your lower back. This procedure can help alleviate pain and improve stability by reducing movement between the vertebrae.

28 services28 patients

Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment 63047

This procedure involves removing part of a spine bone to alleviate pressure on the lower spinal cord and/or nerves. It targets a single segment of the spine, improving mobility and reducing pain. It's a common treatment for conditions like herniated discs or spinal stenosis.

26 services26 patients

Prosthetic repair of shoulder joint, total shoulder 23472

Total shoulder prosthetic repair is a surgical procedure to replace a damaged shoulder joint with artificial components. It aims to relieve pain and restore mobility. The procedure involves replacing the ball (humeral head) and socket (glenoid) of the shoulder joint.

25 services25 patients

Injection of anesthetic agent and/or steroid into knee nerve branch using imaging guidance 64454

This procedure involves injecting anesthetic and/or steroid medication into a knee nerve branch. Imaging technology is used to ensure accurate placement of the needle. This can help reduce pain and inflammation in the knee area.

22 services22 patients

Replacement of thigh bone and hip joint with prosthesis 27130

This procedure, known as hip arthroplasty, involves replacing your damaged thigh bone and hip joint with artificial parts, called a prosthesis. It helps relieve pain, improve mobility, and enhance your quality of life.

21 services21 patients

Harvest of graft from small bone 20900

Harvesting of a graft from a small bone is a procedure where a small piece of bone is taken from one area of your body to be used in another area. This is often done to help repair or rebuild a damaged or diseased bone, improving its strength and function.

19 services19 patients

Correction of bunion 28292

A bunion correction is a surgical procedure to realign the bone, ligaments, tendons, and nerves so your big toe can be brought back to its correct position. This procedure reduces foot pain and improves balance and foot function.

19 services18 patients

Removal of extensive shoulder joint tissue using an endoscope 29823

This procedure, known as arthroscopic debridement, involves using a small camera (endoscope) to view your shoulder joint. Damaged or unwanted tissue is then carefully removed. This minimally invasive technique aims to reduce pain and improve joint mobility.

19 services18 patients

Destruction of nerve branches of knee using imaging guidance 64624

This procedure involves the use of imaging technology to accurately locate and destroy specific nerve branches in the knee. This can help reduce chronic knee pain. The procedure is minimally invasive and usually performed under local anesthesia.

17 services14 patients

Incision or partial removal of foot bone (other than big toe) to straighten toe 28308

This procedure involves making a small incision to partially remove a bone in the foot, excluding the big toe. The aim is to straighten a misaligned toe. It helps in relieving pain, improving foot function, and enhancing shoe comfort.

15 services15 patients

Injection of trigger points, 1-2 muscles 20552

Trigger point injection is a procedure used to treat painful areas of muscle that contain trigger points, or knots of muscle that form when muscles do not relax. 1-2 muscles are typically treated in one session. The procedure involves injecting medications into these points to alleviate pain.

13 services13 patients

Removal of extensive dead or infected tissue using an endoscope 29898

This procedure involves using a thin, flexible tool called an endoscope to remove large amounts of dead or infected tissue. It's a less invasive method that helps promote healing and prevent further infection. It's typically performed under anesthesia for your comfort.

13 services13 patients

Removal of deep implant from bone 20680

This procedure involves the careful extraction of an implant deeply embedded in a bone. A specialist makes a small incision, then utilizes precise instruments to reach and safely remove the implant. The area is then closed and monitored for healing.

12 services12 patients

Removal of bone joints between wrist and fingers 25447

This procedure involves the surgical removal of bone joints between your wrist and fingers. It's typically done to relieve pain or restore function due to conditions like arthritis. After removal, the space may be filled with a graft or artificial joint.

11 services11 patients

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. D ENISE W REYNOLDS M.D.

Anesthesiology

3688 VETERANS MEMORIAL DR, SUITE 200
HATTIESBURG, MS 39401

Forrest County (601) 554-7402

RILEY PHILLIPS PA-C

Physician Assistant

3688 VETERANS MEMORIAL DR
HATTIESBURG, MS 39401

Forrest County (601) 554-7400

DR. MICHAEL C PATTERSON M.D.,

Orthopaedic Surgery (Orthopaedic Surgery of the Spine)

3688 VETERANS MEMORIAL DR, SUITE 200
HATTIESBURG, MS 39401

Forrest County (601) 554-7400

CLIFTON H DAVIS P.A.-C

Physician Assistant (Medical)

3688 VETERANS MEMORIAL DR, SUITE 200
HATTIESBURG, MS 39401

Forrest County (601) 554-7400

KIMBERLY T SIMNICHT CFNP

Specialist

3688 VETERANS MEMORIAL DR, STE 200
HATTIESBURG, MS 39401

Forrest County (601) 554-7400

MR. JIMMIE G MOORE JR. PA-C

Physician Assistant (Medical)

3688 VETERANS MEMORIAL DR, SUITE 200
HATTIESBURG, MS 39401

Forrest County (601) 554-7400

MARSHALL BYNUM PA

Physician Assistant (Medical)

3688 VETERANS MEMORIAL DR, SUITE 200
HATTIESBURG, MS 39401

Forrest County (601) 554-7400

DR. JAMES A ANTINNES M.D.,

Orthopaedic Surgery (Orthopaedic Surgery of the Spine)

3688 VETERANS MEMORIAL DR, SUITE 200
HATTIESBURG, MS 39401

Forrest County (601) 554-7451

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 Surgery Center, LLC's NPI number?

The NPI number for Southern Surgery Center, LLC is 1912906157. It was assigned to this organization in the NPPES registry on July 19, 2005.

Where is Southern Surgery Center, LLC located?

Southern Surgery Center, LLC is located at 3688 Veterans Memorial Dr Suite 100, Hattiesburg, MS 39401. The listed phone number is (601) 554-7525.

What is Southern Surgery Center, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Does Southern Surgery Center, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 25D0974912) is associated with this NPI, valid through June 19, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Southern Surgery Center, LLC accept?

Health plans from Oscar Health Plan, Inc. and UnitedHealthcare list Southern Surgery Center, 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 Surgery Center, LLC was last updated on December 28, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.

About Southern Surgery Center, Llc NPPES

NPPES Registry Identity

Specialties & Licenses

Other Identifiers 3

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Certificate of Waiver · 25D0974912

Areas of Expertise CMS Part B claims 38

Other Providers at the Same Location NPPES 20

Frequently Asked Questions NPPES & CMS

What is Southern Surgery Center, LLC's NPI number?

Where is Southern Surgery Center, LLC located?

What is Southern Surgery Center, LLC's specialty?

Does Southern Surgery Center, LLC hold a CLIA laboratory certificate?

What insurance does Southern Surgery Center, LLC accept?

When was this NPI record last updated?

Certificate of Waiver 25D0974912