NPI age
16 years
Enumerated 2009-10-23
● Active Type 2 · Organization
Southern Surgical Providers, P.c.
Southern Surgical Providers, P.c. is 1 of 1389 surgery organizations in Georgia.
Primary specialty
Surgery
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Wynn
President
Last NPPES update
2024-09-28
Source: monthly bulk 2026-05
How this organization compares
Across 1389 active surgery providers in Georgia.
NPI age
16 years
≈ at median (17 yr)
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2009 → 2026
2009-10Enumerated in NPPES
2009
2026
Where they practice
Primary practice location
459 Highway 119 S
Springfield, GA 313293021
Mailing address
459 Highway 119 S
Springfield, GA 313293021
Authorized official
Robert Alexander Wynn, MD
President
📞 9127540382
Individual providers at this organization
8 individual providers on file at this primary practice address.
- Ashley Dasher, AGACNP-BC Nurse Practitioner NPI 1558881078
- Francisco De La Rosa, MD Emergency Medicine NPI 1669435111
- Jean-Paul Landry, MD Emergency Medicine NPI 1356304844
- Ansley Smith Anesthesiologist Assistant NPI 1710356845
- Fawn Smith, NP-C Nurse Practitioner NPI 1679950554
- Katrin Usifo, M.D. Internal Medicine NPI 1407141690
- Peter Wolfenberger Anesthesiologist Assistant NPI 1487023529
- Robert Wynn, M.D. Surgery NPI 1790748432
Specialties
-
Surgery PrimaryA general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 264241741A |
Practice context
Multi-provider organization. 8 individual providers on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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