Southern Gastroenterology Associates PC
NPI 1376659870 · Specialist · South Boston, VA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Southern Gastroenterology Associates PC is a Specialist organization in South Boston, VA (NPI 1376659870).
Provider details
- NPI number
- 1376659870
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Nicole Palmer, Practice Manager(434) 572-8196
Specialties & taxonomies
Other Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
Additional practice locations (1)
- 2232 Wilborn AveSouth Boston, VA 24592-1662Phone: (434) 572-8196Fax: (434) 572-4549
Registry dates
- Enumerated
- 2006-08-21
- Last updated
- 2022-01-07
- Certified
- 2022-01-07
Frequently asked questions
- What is Southern Gastroenterology Associates PC's NPI number?
- Southern Gastroenterology Associates PC's National Provider Identifier (NPI) is 1376659870, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southern Gastroenterology Associates PC?
- Southern Gastroenterology Associates PC is classified in the NPPES registry as Specialist (Other Service Providers).
- Where is Southern Gastroenterology Associates PC located?
- Southern Gastroenterology Associates PC's practice location on file with NPPES is 1129 N Main St Ste G, South Boston, VA 24592-2547.
- What is Southern Gastroenterology Associates PC's phone number?
- The practice phone number listed in the NPPES registry for Southern Gastroenterology Associates PC is (434) 572-8196.
- Does Southern Gastroenterology Associates PC accept Medicare?
- Southern Gastroenterology Associates PC 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 Gastroenterology Associates PC?
- The authorized official listed on Southern Gastroenterology Associates PC's NPPES record is Nicole Palmer, Practice Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Southern Gastroenterology Associates PC's NPI active?
- Yes — Southern Gastroenterology Associates PC's NPI (1376659870) is active in the NPPES registry as of the last update on 2022-01-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.