Southern Surgical Providers, P.C.
NPI 1619203809 · Surgery Physician · Springfield, GA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Southern Surgical Providers, P.C. is a Surgery Physician organization in Springfield, GA (NPI 1619203809).
Provider details
- NPI number
- 1619203809
- Entity type
- Organization
- Primary specialty
- Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Robert Wynn, President(912) 754-0382
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
16 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
- 2009-10-23
- Last updated
- 2024-09-28
- Certified
- 2024-09-28
Frequently asked questions
- What is Southern Surgical Providers, P.C.'s NPI number?
- Southern Surgical Providers, P.C.'s National Provider Identifier (NPI) is 1619203809, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southern Surgical Providers, P.C.?
- Southern Surgical Providers, P.C. is classified in the NPPES registry as Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Southern Surgical Providers, P.C. located?
- Southern Surgical Providers, P.C.'s practice location on file with NPPES is 459 Highway 119 S, Springfield, GA 31329-3021.
- What is Southern Surgical Providers, P.C.'s phone number?
- The practice phone number listed in the NPPES registry for Southern Surgical Providers, P.C. is (912) 754-0382.
- Does Southern Surgical Providers, P.C. accept Medicare?
- Southern Surgical Providers, P.C. 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 Providers, P.C.?
- The authorized official listed on Southern Surgical Providers, P.C.'s NPPES record is Robert Wynn, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Southern Surgical Providers, P.C.'s NPI active?
- Yes — Southern Surgical Providers, P.C.'s NPI (1619203809) is active in the NPPES registry as of the last update on 2024-09-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.