OrganizationActiveAccepts Medicare
Southern Surgical PC
NPI 1700905593 · Specialist · Dublin, GA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Provider details
- NPI number
- 1700905593
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- William (bill) Moses, Owner(478) 275-2454
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
2406 Bellevue Rd
#11 Erin Office Park
Dublin, GA 31021-2842
Phone: (478) 275-2454
Fax: (478) 275-0991
Street-level locationGet directions
Mailing address
Po Box 10
Dublin, GA 31040-0010
Other names (DBA / former)
- Doing business as
- The Vein Clinic and Medispa
Registry dates
- Enumerated
- 2007-03-29
- Last updated
- 2007-08-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.