SOUTHLAKE HEALTH CARE – Clinic/Center, NPI 1235776220

SOUTHLAKE HEALTH CARE is a healthcare provider. based in Morrow, Georgia. specializing in Clinic/Center. The NPI Number for SOUTHLAKE HEALTH CARE is 1235776220

Main info

Organization
Name
SOUTHLAKE HEALTH CARE
NPI
1235776220
Phone
(678) 604-7739
Address
1096 MOUNT ZION RD STE 1130
Authorized Official
JUSTIN JAMES BROE PROPRIETOR DC
Enumeration Date
9 December 2019
Last Update Date
9 December 2019
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience27
Completeness75
Years active:6State licenses:0Digital endpointsOther names

Provider Addresses for SOUTHLAKE HEALTH CARE

  • 1096 MOUNT ZION RD STE 1130

    MORROW, GA 302602213

    Phone: (678) 604-7739

    Fax: (470) 615-7772

    Mailing address matches the actual address.

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.

No Medicare enrollment or revalidation data available for this provider in our database.

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 30260)

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Reviews

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Frequently asked questions

What is the 10-digit NPI for SOUTHLAKE HEALTH CARE?
SOUTHLAKE HEALTH CARE — NPI 1235776220 — is the standard way to identify this listing.
Does the file indicate SOUTHLAKE HEALTH CARE is practicing under active NPI?
Directory data currently reports SOUTHLAKE HEALTH CARE as active.
What taxonomy line describes SOUTHLAKE HEALTH CARE?
For research purposes, treat SOUTHLAKE HEALTH CARE as Clinic/Center in this dataset. Clinical services aligned with this taxonomy classification.
Where is SOUTHLAKE HEALTH CARE based?
SOUTHLAKE HEALTH CARE is tied to Morrow, Georgia in the data we show; additional addresses may exist on the full record.
Is the information about SOUTHLAKE HEALTH CARE up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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