Southern Surgery Center, LLC
NPI 1184083958 · Ambulatory Surgical Clinic/Center · Albany, GA
Enrolled with Medicare as Part B Supplier - Ambulatory Surgical Center · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Southern Surgery Center, LLC is a Ambulatory Surgical Clinic/Center organization in Albany, GA (NPI 1184083958).
Provider details
- NPI number
- 1184083958
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- John Davis, Medical Director(229) 434-4200
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
10 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
357 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. 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.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Biopsy of Large Bowel Using a Flexible Endoscope45380 | 91 | $536 |
| Biopsy of Esophagus, Stomach, And/Or Upper Small Bowel Using a Flexible Endoscope43239 | 88 | $252 |
| Microscopic Exam of Esophagus, Stomach, And/Or Upper Small Bowel Using a Flexible Endoscope43252 | 64 | $776 |
| Colorectal Cancer Screening; Colonoscopy on Individual at High RiskG0105 | 31 | $448 |
| Colorectal Cancer Screening; Colonoscopy on Individual Not Meeting Criteria for High RiskG0121 | 22 | $448 |
| Removal of Polyps Or Growths of Large Bowel Using an Endoscope With Mechanical Snare |
Practice location
Mailing address
Registry dates
- Enumerated
- 2016-02-22
- Last updated
- 2016-02-22
Frequently asked questions
- What is Southern Surgery Center, LLC's NPI number?
- Southern Surgery Center, LLC's National Provider Identifier (NPI) is 1184083958, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southern Surgery Center, LLC?
- Southern Surgery Center, LLC is classified in the NPPES registry as Ambulatory Surgical Clinic/Center (Ambulatory Health Care Facilities).
- Where is Southern Surgery Center, LLC located?
- Southern Surgery Center, LLC's practice location on file with NPPES is 605 N Westover Blvd, Albany, GA 31707-2188.
- What is Southern Surgery Center, LLC's phone number?
- The practice phone number listed in the NPPES registry for Southern Surgery Center, LLC is (229) 434-4200.
- Does Southern Surgery Center, LLC accept Medicare?
- Southern Surgery Center, LLC 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 Surgery Center, LLC?
- The authorized official listed on Southern Surgery Center, LLC's NPPES record is John Davis, Medical Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Southern Surgery Center, LLC's NPI active?
- Yes — Southern Surgery Center, LLC's NPI (1184083958) is active in the NPPES registry as of the last update on 2016-02-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.