Southern Orthopedic Associates Sc
NPI 1396792412 · Orthopaedic Surgery Physician · Herrin, IL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Southern Orthopedic Associates Sc is a Orthopaedic Surgery Physician organization in Herrin, IL (NPI 1396792412).
Provider details
- NPI number
- 1396792412
- Entity type
- Organization
- Primary specialty
- Orthopaedic Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- John Davis, President Orthopedic Surgeon(618) 997-6800
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Physical Therapist225100000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Occupational Therapist225X00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Podiatric Clinic/Center261QP1100X
Ambulatory Health Care Facilities
Suppliers
- Physician Assistant363A00000X
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
- 2006-05-27
- Last updated
- 2022-10-04
- Certified
- 2022-10-04
Frequently asked questions
- What is Southern Orthopedic Associates Sc's NPI number?
- Southern Orthopedic Associates Sc's National Provider Identifier (NPI) is 1396792412, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southern Orthopedic Associates Sc?
- Southern Orthopedic Associates Sc is classified in the NPPES registry as Orthopaedic Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Southern Orthopedic Associates Sc located?
- Southern Orthopedic Associates Sc's practice location on file with NPPES is 510 Lincoln Dr, Herrin, IL 62948-6334.
- What is Southern Orthopedic Associates Sc's phone number?
- The practice phone number listed in the NPPES registry for Southern Orthopedic Associates Sc is (618) 997-6800.
- Does Southern Orthopedic Associates Sc accept Medicare?
- Southern Orthopedic Associates Sc 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 Orthopedic Associates Sc?
- The authorized official listed on Southern Orthopedic Associates Sc's NPPES record is John Davis, President Orthopedic Surgeon. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Southern Orthopedic Associates Sc's NPI active?
- Yes — Southern Orthopedic Associates Sc's NPI (1396792412) is active in the NPPES registry as of the last update on 2022-10-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.