Southern Surgery Center, LLC
NPI 1912906157 · Ambulatory Surgical Clinic/Center · Hattiesburg, MS
Enrolled with Medicare as Part B Supplier - Ambulatory Surgical Center · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Southern Surgery Center, LLC is a Ambulatory Surgical Clinic/Center organization in Hattiesburg, MS (NPI 1912906157).
Provider details
- NPI number
- 1912906157
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- David Burckel, Ceo(601) 554-7525
- License
- 015 (MS)
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
21 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
4,571 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 of Lower Or Sacral Spine Facet Joint Using Imaging Guidance, Single Level64493 | 782 | $295 |
| Injection of Anesthetic And/Or Steroid Drug Into Sacral Spine Nerve Root Using Imaging Guidance, Single Level64483 | 683 | $346 |
| Destruction of Lower Or Sacral Spinal Facet Joint Nerves Using Imaging Guidance, Single Facet Joint64635 | 494 | $562 |
| Injection of Substance Into Lower Spine Canal Using Imaging Guidance62323 | 351 | $292 |
| Injection of Upper Or Middle Spine Facet Joint Using Imaging Guidance, Single Level64490 | 263 | $300 |
| Injection of Substance Into Middle Or Upper Spine Canal Using Imaging Guidance |
Practice location
Mailing address
Registry dates
- Enumerated
- 2005-07-19
- Last updated
- 2009-12-28
Frequently asked questions
- What is Southern Surgery Center, LLC's NPI number?
- Southern Surgery Center, LLC's National Provider Identifier (NPI) is 1912906157, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southern Surgery Center, LLC?
- Southern Surgery Center, LLC is classified in the NPPES registry as Ambulatory Surgical Clinic/Center (Ambulatory Health Care Facilities).
- Where is Southern Surgery Center, LLC located?
- Southern Surgery Center, LLC's practice location on file with NPPES is 3688 Veterans Memorial Dr, Hattiesburg, MS 39401-8246.
- What is Southern Surgery Center, LLC's phone number?
- The practice phone number listed in the NPPES registry for Southern Surgery Center, LLC is (601) 554-7525.
- Does Southern Surgery Center, LLC accept Medicare?
- Southern Surgery Center, 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 Surgery Center, LLC?
- The authorized official listed on Southern Surgery Center, LLC's NPPES record is David Burckel, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Southern Surgery Center, LLC's NPI active?
- Yes — Southern Surgery Center, LLC's NPI (1912906157) is active in the NPPES registry as of the last update on 2009-12-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.