Southern Wv Medical and Surgical Specialists PLLC
NPI 1497103386 · Otolaryngology Physician · Lewisburg, WV
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Southern Wv Medical and Surgical Specialists PLLC is a Otolaryngology Physician organization in Lewisburg, WV (NPI 1497103386).
Provider details
- NPI number
- 1497103386
- Entity type
- Organization
- Primary specialty
- Otolaryngology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Justin Douglas, Owner/President(304) 929-6930
- License
- 23770 (WV)
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
10 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
Other names (DBA / former)
- Doing business as
- Southern Wv Ent
Registry dates
- Enumerated
- 2016-06-01
- Last updated
- 2016-06-22
Frequently asked questions
- What is Southern Wv Medical and Surgical Specialists PLLC's NPI number?
- Southern Wv Medical and Surgical Specialists PLLC's National Provider Identifier (NPI) is 1497103386, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southern Wv Medical and Surgical Specialists PLLC?
- Southern Wv Medical and Surgical Specialists PLLC is classified in the NPPES registry as Otolaryngology Physician (Allopathic & Osteopathic Physicians).
- Where is Southern Wv Medical and Surgical Specialists PLLC located?
- Southern Wv Medical and Surgical Specialists PLLC's practice location on file with NPPES is 206 Skylar Dr, Lewisburg, WV 24901-9383.
- What is Southern Wv Medical and Surgical Specialists PLLC's phone number?
- The practice phone number listed in the NPPES registry for Southern Wv Medical and Surgical Specialists PLLC is (681) 318-3540.
- Does Southern Wv Medical and Surgical Specialists PLLC accept Medicare?
- Southern Wv Medical and Surgical Specialists PLLC 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 Wv Medical and Surgical Specialists PLLC?
- The authorized official listed on Southern Wv Medical and Surgical Specialists PLLC's NPPES record is Justin Douglas, Owner/President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Southern Wv Medical and Surgical Specialists PLLC's NPI active?
- Yes — Southern Wv Medical and Surgical Specialists PLLC's NPI (1497103386) is active in the NPPES registry as of the last update on 2016-06-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.