SOUTHERN SPECIALTY CLINIC, LLC
NPI 1982426243
Pediatrics - Pediatric Hematology-Oncology in Flowood, MS
About Southern Specialty Clinic, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SOUTHERN SPECIALTY CLINIC, LLC (NPI 1982426243) is a healthcare organization registered as a pediatric hematology-oncology in Flowood, Mississippi and active in the NPI registry since October 2024. The organization lists Sharon Pennington, Chief Executive Officer, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
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 Specialty Clinic, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
5Medicare enrollment records show 5 clinicians reassign Medicare billing to Southern Specialty Clinic, LLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.
Clinicians, nearest first (5)
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 Specialty Clinic, LLC's NPI number?
The NPI number for Southern Specialty Clinic, LLC is 1982426243. It was assigned to this organization in the NPPES registry on October 28, 2024.
Where is Southern Specialty Clinic, LLC located?
Southern Specialty Clinic, LLC is located at 803 Liberty Rd, Flowood, MS 39232. The listed phone number is (601) 714-1967.
What is Southern Specialty Clinic, LLC's specialty?
The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Hematology-Oncology, with taxonomy code 2080P0207X.
Is Southern Specialty Clinic, LLC enrolled in Medicare?
Yes. Southern Specialty Clinic, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Southern Specialty Clinic, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 2 Medicare specialties reassign their Medicare billing to Southern Specialty Clinic, 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 Pediatric Medicine (3) and Nurse Practitioner (2). Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Southern Specialty Clinic, LLC accept?
Health plans from Cigna Healthcare and Molina Healthcare list Southern Specialty Clinic, 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 Specialty Clinic, LLC was last updated on December 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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 Specialty Clinic, Llc · NPI 1982426243
Pediatric Hematology-Oncology organization in Flowood, Mississippi. Organization record, active in the CMS NPPES registry since October 28, 2024.
## Identity
- **NPI:** 1982426243 (Entity type: Organization)
- **Enumerated:** October 28, 2024
- **Primary specialty:** Pediatrics - Pediatric Hematology-Oncology · taxonomy 2080P0207X
- **Organization subpart:** No
- **Authorized official:** Sharon Pennington, CHIEF EXECUTIVE OFFICER
## Practice location
- **Address:** 803 LIBERTY RD, Flowood, MS 39232-9000
- **Phone:** (601) 714-1967 · **Fax:** (601) 714-1966
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 5 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Pediatric Medicine (3), Nurse Practitioner (2); 3 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 4, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1982426243) · Data from the CMS NPPES public registry.