Southern Institute of Plastic Surgery, Inc.
NPI 1154721983 · Plastic Surgery Physician · Dothan, AL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Southern Institute of Plastic Surgery, Inc. is a Plastic Surgery Physician organization in Dothan, AL (NPI 1154721983).
Provider details
- NPI number
- 1154721983
- Entity type
- Organization
- Primary specialty
- Plastic Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jeffery Walding, Director(334) 699-7477
- License
- 31063 (AL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2014-08-28
- Last updated
- 2015-04-01
Frequently asked questions
- What is Southern Institute of Plastic Surgery, Inc.'s NPI number?
- Southern Institute of Plastic Surgery, Inc.'s National Provider Identifier (NPI) is 1154721983, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southern Institute of Plastic Surgery, Inc.?
- Southern Institute of Plastic Surgery, Inc. is classified in the NPPES registry as Plastic Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Southern Institute of Plastic Surgery, Inc. located?
- Southern Institute of Plastic Surgery, Inc.'s practice location on file with NPPES is 2800 Ross Clark Cir, Dothan, AL 36301-2040.
- What is Southern Institute of Plastic Surgery, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Southern Institute of Plastic Surgery, Inc. is (334) 699-7477.
- Does Southern Institute of Plastic Surgery, Inc. accept Medicare?
- Southern Institute of Plastic Surgery, Inc. is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Southern Institute of Plastic Surgery, Inc.?
- The authorized official listed on Southern Institute of Plastic Surgery, Inc.'s NPPES record is Jeffery Walding, Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Southern Institute of Plastic Surgery, Inc.'s NPI active?
- Yes — Southern Institute of Plastic Surgery, Inc.'s NPI (1154721983) is active in the NPPES registry as of the last update on 2015-04-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.