SOUTHERN CANCER CENTER, PC – Hematology & Oncology Physician, NPI 1578629556
Hematology & Oncology Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for SOUTHERN CANCER CENTER, PC
201 Sivley Rd SW Ste 200
Huntsville, AL 358015177
Phone: (251) 625-6896
Type: Location
3719 Dauphin St Fl 5
Mobile, AL 366081753
Phone: (251) 625-6896
Type: Location
3 Mobile Infirmary Cir Ste 302
Mobile, AL 366073515
Phone: (251) 625-6896
Type: Location
29653 Anchor Cross Blvd
Daphne, AL 365269594
Phone: (251) 625-6896
Type: Location
669 S McKenzie St Ste 103
Foley, AL 365351965
Phone: (251) 625-6896
Type: Location
1703 N Bunner St
Foley, AL 365352229
Phone: (251) 625-6896
Type: Location
6701 Airport Blvd Ste B222
Mobile, AL 366086700
Phone: (251) 633-0663
Fax: (251) 266-3601
Type: Location
6701, Airport Boulevard, Huntleigh Woods, Mobile, Mobile County, Alabama, 36608, United States
B BLDG., T LEVEL
MOBILE, AL 366086705
Phone: (251) 625-6896
Fax: (251) 266-3209
Type: Location
29653 ANCHOR CROSS BLVD
DAPHNE, AL 365269594
Phone: (251) 625-6896
Fax: (251) 625-6897
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2007-04-23
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2026-02-28 (104 days ago).
Enrollment records
1
Earliest due date
2026-02-28
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20070423000242 | O | Clinic/Group Practice | AL | 2026-02-28 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 35801)
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