Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Southern Surgical Associates, PC

Organization Surgery Physician · NPI 1497936785

Southern Surgical Associates, PC is a Surgery Physician in Lawrenceville, Georgia. Registered with an NPI since 2007.

In the registry since
2007
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

743 Old Norcross Rd
Lawrenceville, GA 30046-4317
Phone: (770) 513-1763
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X

Record details

NPI number1497936785
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kevin Jensen — President · (770) 513-1763
NPI enumeratedNovember 15, 2007
Last updated in NPPESMay 3, 2016
Mailing address743 Old Norcross Rd, Lawrenceville, GA 30046-4317

Other providers in Lawrenceville