Southern Sports Surgical, LLC.
NPI 1558785683 · Ambulatory Surgical Clinic/Center · Hendersonville, TN
Enrolled with Medicare as Part B Supplier - Ambulatory Surgical Center · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Southern Sports Surgical, LLC. is a Ambulatory Surgical Clinic/Center organization in Hendersonville, TN (NPI 1558785683).
Provider details
- NPI number
- 1558785683
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Thomas Gautsch, Ceo(615) 418-2975
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
12 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
32,899 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) |
|---|---|---|
| Injection, Bupivacaine Liposome, 1 MgC9290 | 32,718 | $1 |
| Replacement of Knee Joint, Both Sides of Knee27447 | 135 | $8,212 |
| Repair of Shoulder Rotator Cuff Using an Endoscope29827 | 19 | $2,063 |
| Release of Tendon Connecting Biceps Muscle and Shoulder Using an Endoscope29828 | 14 | $3,135 |
| Replacement of Thigh Bone and Hip Joint With Prosthesis27130 | 13 | $8,536 |
Typical Medicare-allowed amounts for these services range $1–$8,536 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Indian Lake Surgery Center
Registry dates
- Enumerated
- 2014-02-10
- Last updated
- 2014-08-19
Frequently asked questions
- What is Southern Sports Surgical, LLC.'s NPI number?
- Southern Sports Surgical, LLC.'s National Provider Identifier (NPI) is 1558785683, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southern Sports Surgical, LLC.?
- Southern Sports Surgical, LLC. is classified in the NPPES registry as Ambulatory Surgical Clinic/Center (Ambulatory Health Care Facilities).
- Where is Southern Sports Surgical, LLC. located?
- Southern Sports Surgical, LLC.'s practice location on file with NPPES is 127 Saundersville Rd., Hendersonville, TN 37075-8902.
- What is Southern Sports Surgical, LLC.'s phone number?
- The practice phone number listed in the NPPES registry for Southern Sports Surgical, LLC. is (615) 265-8038.
- Does Southern Sports Surgical, LLC. accept Medicare?
- Southern Sports Surgical, 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 Sports Surgical, LLC.?
- The authorized official listed on Southern Sports Surgical, LLC.'s NPPES record is Thomas Gautsch, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Southern Sports Surgical, LLC.'s NPI active?
- Yes — Southern Sports Surgical, LLC.'s NPI (1558785683) is active in the NPPES registry as of the last update on 2014-08-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.