OrganizationActive
Southport Surgical Associates, P.A.
NPI 1760693618 · Surgery Physician · Southport, NC
Southport Surgical Associates, P.A. is a Surgery Physician organization in Southport, NC (NPI 1760693618).
Provider details
- NPI number
- 1760693618
- Entity type
- Organization
- Primary specialty
- Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Larry Weisner, President(910) 457-1880
- License
- 9400669 (NC)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
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
621b N Fodale Ave
Southport, NC 28461-3550
Phone: (910) 457-1880
Street-level locationGet directions
Mailing address
621b N Fodale Ave
Southport, NC 28461-3550
Registry dates
- Enumerated
- 2007-05-24
- Last updated
- 2020-08-22
Frequently asked questions
- What is Southport Surgical Associates, P.A.'s NPI number?
- Southport Surgical Associates, P.A.'s National Provider Identifier (NPI) is 1760693618, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southport Surgical Associates, P.A.?
- Southport Surgical Associates, P.A. is classified in the NPPES registry as Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Southport Surgical Associates, P.A. located?
- Southport Surgical Associates, P.A.'s practice location on file with NPPES is 621b N Fodale Ave, Southport, NC 28461-3550.
- What is Southport Surgical Associates, P.A.'s phone number?
- The practice phone number listed in the NPPES registry for Southport Surgical Associates, P.A. is (910) 457-1880.
- Who is the authorized official for Southport Surgical Associates, P.A.?
- The authorized official listed on Southport Surgical Associates, P.A.'s NPPES record is Larry Weisner, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Southport Surgical Associates, P.A.'s NPI active?
- Yes — Southport Surgical Associates, P.A.'s NPI (1760693618) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.