Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Southern Surgical Consultants, LLC

Organization Surgery Physician · NPI 1770771578

Southern Surgical Consultants, LLC provides Surgery Physician services in Russellville, Kentucky. Licensed in Kentucky. Registered with an NPI since 2007.

Licensed in
KY
In the registry since
2007
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1623 Nashville St Ste 206
Russellville, KY 42276-8889 Not confirmed with CMS for 16 years — call before visiting
Phone: (270) 726-9700
Fax: (270) 726-6400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence TP556 (KY)

Record details

NPI number1770771578
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Stephen Reese — Owner · (270) 726-9700
NPI enumeratedOctober 6, 2007
Last updated in NPPESNovember 11, 2009
Mailing address1623 Nashville St, Suite 206, Russellville, KY 42276-8889

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