NPIMap

Organization Active NPI

Sog Surgery Center LLC

  • Ambulatory Surgical Clinic/Center
  • Oxford, MS
National Provider Identifier
1871310383
Registry record updated Jul 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
SOG SURGERY CENTER LLC
Practice address
723 Concordia Ave
Suite 200
Oxford, MS 38655
Phone
(662) 432-1486
NPI assigned
Sep 25, 2024
Last updated
Jul 1, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Lindsey Thompson
Title
Administrator
Phone
(662) 432-1490

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X NU Primary

Addresses

Primary practice location

723 Concordia Ave
Suite 200
Oxford, MS 38655

Mailing address

723 Concordia Ave Ste 201
Oxford, MS 38655-1991
Phone (662) 432-1490

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251110003735 MS Part B Supplier - Ambulatory Surgical Center 1355687864 Practice locations: Oxford, MS

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1871310383. Details of each certification follow.

Ambulatory surgical center certification: CCN 25C0001115

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
SOG SURGERY CENTER
Certification status
Active
Provider type (POS)
Ambulatory surgical center
Participating since
Dec 17, 2025
Last certification
Nov 25, 2025
Facility address
723 Concordia Avenue, Suite 201
Oxford, MS 38655

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
25D2327868Sog Surgery Center LLC723 Concordia Ave Suite 200, Oxford, MS 38655Certificate of waiverJul 29, 2027

National Provider Directory

National Provider Directory

Locations

723 Concordia Ave
Ste 200
Oxford, MS 38655
Phone (662) 432-1486

723 Concordia Ave
Ste 201
Oxford, MS 38655
Phone (662) 432-1490

Practitioners & affiliated clinicians

Practitioners 26

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 26

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1727222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782864000000",
    "number": "1871310383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "723 CONCORDIA AVE STE 201",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "386551991",
            "telephone_number": "662-432-1490",
            "fax_number": "662-432-1491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "723 CONCORDIA AVE",
            "address_2": "SUITE 200",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "38655",
            "telephone_number": "662-432-1486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOG SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-25",
        "last_updated": "2026-07-01",
        "certification_date": "2026-07-01",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "LINDSEY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "662-432-1490"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oxford, MS

Sources for this page

Verify at the official NPI Registry.