Southern Orthopedic Spine Surgery, LLC
NPI 1689179053 · Orthopaedic Surgery Physician · Panama City, FL
Enrolled with Medicare as Dme Supplier - Physician - Osteopathic Manipulative Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Southern Orthopedic Spine Surgery, LLC is a Orthopaedic Surgery Physician organization in Panama City, FL (NPI 1689179053).
Provider details
- NPI number
- 1689179053
- Entity type
- Organization
- Primary specialty
- Orthopaedic Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Cory Gaiser, Owner(850) 771-2001
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
8 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
- 2018-03-28
- Last updated
- 2018-11-06
Frequently asked questions
- What is Southern Orthopedic Spine Surgery, LLC's NPI number?
- Southern Orthopedic Spine Surgery, LLC's National Provider Identifier (NPI) is 1689179053, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southern Orthopedic Spine Surgery, LLC?
- Southern Orthopedic Spine Surgery, LLC is classified in the NPPES registry as Orthopaedic Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Southern Orthopedic Spine Surgery, LLC located?
- Southern Orthopedic Spine Surgery, LLC's practice location on file with NPPES is 1399 Jenks Ave Bldg G, Panama City, FL 32401-2442.
- What is Southern Orthopedic Spine Surgery, LLC's phone number?
- The practice phone number listed in the NPPES registry for Southern Orthopedic Spine Surgery, LLC is (850) 771-2001.
- Does Southern Orthopedic Spine Surgery, LLC accept Medicare?
- Southern Orthopedic Spine Surgery, 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 Orthopedic Spine Surgery, LLC?
- The authorized official listed on Southern Orthopedic Spine Surgery, LLC's NPPES record is Cory Gaiser, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Southern Orthopedic Spine Surgery, LLC's NPI active?
- Yes — Southern Orthopedic Spine Surgery, LLC's NPI (1689179053) is active in the NPPES registry as of the last update on 2018-11-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.