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Southern Orthopedic Associates Sc

Orthopaedic Surgery Physician in Herrin, IL · enumerated 2006 · authorized official John Davis, President Orthopedic Surgeon.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1396792412

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Registry record

Entity type Organization (Type 2)
Legal business name Southern Orthopedic Associates Sc
Practice address 510 Lincoln Dr, Herrin, IL, 62948
Phone (618) 997-6800
Enumeration date May 27, 2006
Last updated in NPPES Oct 4, 2022

Taxonomy & classification

207X00000X Orthopaedic Surgery Physician Allopathic & Osteopathic Physicians · License 042617215 (IL) Primary
225100000X Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers Secondary
225X00000X Occupational Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers Secondary
261QP1100X Podiatric Clinic/Center Ambulatory Health Care Facilities Secondary
332B00000X Durable Medical Equipment & Medical Supplies Suppliers · License 042617215 (KY) Secondary
363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers Secondary

Authorized official

Name John Davis
Title President Orthopedic Surgeon
Phone (618) 997-6800

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Southern Orthopedic Associates Sc?
Southern Orthopedic Associates Sc is registered in NPPES as a Orthopaedic Surgery Physician (its primary provider taxonomy).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2022-10-04.