Southern Surgical Associates, PC
NPI 1497936785 · Surgery Physician · Lawrenceville, GA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Southern Surgical Associates, PC is a Surgery Physician organization in Lawrenceville, GA (NPI 1497936785).
Provider details
- NPI number
- 1497936785
- Entity type
- Organization
- Primary specialty
- Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Kevin Jensen, President(770) 513-1763
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
18 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
- 2007-11-15
- Last updated
- 2016-05-03
Frequently asked questions
- What is Southern Surgical Associates, PC's NPI number?
- Southern Surgical Associates, PC's National Provider Identifier (NPI) is 1497936785, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southern Surgical Associates, PC?
- Southern Surgical Associates, PC is classified in the NPPES registry as Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Southern Surgical Associates, PC located?
- Southern Surgical Associates, PC's practice location on file with NPPES is 743 Old Norcross Rd, Lawrenceville, GA 30046-4317.
- What is Southern Surgical Associates, PC's phone number?
- The practice phone number listed in the NPPES registry for Southern Surgical Associates, PC is (770) 513-1763.
- Does Southern Surgical Associates, PC accept Medicare?
- Southern Surgical 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 Surgical Associates, PC?
- The authorized official listed on Southern Surgical Associates, PC's NPPES record is Kevin Jensen, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Southern Surgical Associates, PC's NPI active?
- Yes — Southern Surgical Associates, PC's NPI (1497936785) is active in the NPPES registry as of the last update on 2016-05-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.