SOUTHERN UROGYNECOLOGY LLC
NPI 1952622326
Obstetrics & Gynecology in West Columbia, SC
About Southern Urogynecology Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SOUTHERN UROGYNECOLOGY LLC (NPI 1952622326) is a healthcare organization registered as an obstetrics & gynecology in West Columbia, South Carolina and active in the NPI registry since June 2010. The organization holds a CLIA Waiver certificate valid through September 29, 2027 and lists Andrea M Pezzella, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 1
Accepted 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 Urogynecology Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
6Medicare enrollment records show 6 clinicians reassign Medicare billing to Southern Urogynecology LLC, which bills Medicare for the services they deliver. Of these, 4 practice at this address. They are listed nearest first.
Clinicians, nearest first (6)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 42D2010888
Southern Urogynecology, LLC · West Columbia, SCFrequently 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 Urogynecology LLC's NPI number?
The NPI number for Southern Urogynecology LLC is 1952622326. It was assigned to this organization in the NPPES registry on June 19, 2010.
Where is Southern Urogynecology LLC located?
Southern Urogynecology LLC is located at 115 Midlands Ct, West Columbia, SC 29169. The listed phone number is (803) 732-0738.
What is Southern Urogynecology LLC's specialty?
The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.
Is Southern Urogynecology LLC enrolled in Medicare?
Yes. Southern Urogynecology LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Southern Urogynecology LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 4 Medicare specialties reassign their Medicare billing to Southern Urogynecology LLC. 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. The largest specialties are Nurse Practitioner (3), Certified Nurse Midwife (CNM) (1) and Obstetrics/Gynecology (1). Of these, 4 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Southern Urogynecology LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 42D2010888) is associated with this NPI, valid through September 29, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Southern Urogynecology LLC accept?
Health plans from BlueCross BlueShield of South Carolina list Southern Urogynecology 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 Urogynecology LLC was last updated on February 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.
# Southern Urogynecology Llc · NPI 1952622326
Obstetrics & Gynecology organization in West Columbia, South Carolina. Organization record, active in the CMS NPPES registry since June 19, 2010.
## Identity
- **NPI:** 1952622326 (Entity type: Organization)
- **Enumerated:** June 19, 2010
- **Primary specialty:** Obstetrics & Gynecology · taxonomy 207V00000X
- **Organization subpart:** No
- **Authorized official:** Andrea Pezzella, OWNER
## Practice location
- **Address:** 115 MIDLANDS CT, West Columbia, SC 29169-3456
- **Phone:** (803) 732-0738
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 6 clinicians in 4 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (3), Certified Nurse Midwife (CNM) (1), Obstetrics/Gynecology (1); 4 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 6, 2026
- **Other identifiers:** Other H19207 (SC)
- **CLIA laboratory certificates:** 1 on file
---
Source: [NPI Profile](https://npiprofile.com/npi/1952622326) · Data from the CMS NPPES public registry.