SOUTHERN MEDICAL ASSOCIATES, LLC – Family Medicine Physician, NPI 1356764450

SOUTHERN MEDICAL ASSOCIATES, LLC is a healthcare provider. based in Glennville, Georgia. specializing in Family Medicine Physician. The organization holds a License No. 054519 (GA). The NPI Number for SOUTHERN MEDICAL ASSOCIATES, LLC is 1356764450

Main info

Organization
Name
SOUTHERN MEDICAL ASSOCIATES, LLC
NPI
1356764450
Phone
(912) 654-0475
Address
601 S VETERANS BLVD
Authorized Official
TONY M OSTEEN CFO VP FINANCE
Enumeration Date
24 January 2014
Last Update Date
4 September 2014
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:12State licenses:1Digital endpointsOther names

Provider Addresses for SOUTHERN MEDICAL ASSOCIATES, LLC

  • 601 S VETERANS BLVD

    GLENNVILLE, GA 304271775

    Phone: (912) 654-0475

    Fax: (912) 654-0486

    Type: Location

  • PO BOX 407

    VIDALIA, GA 304750407

    Phone: (912) 537-4986

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30427)

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Frequently asked questions

What is the 10-digit NPI for SOUTHERN MEDICAL ASSOCIATES, LLC?
SOUTHERN MEDICAL ASSOCIATES, LLC — NPI 1356764450 — is the standard way to identify this listing.
Is SOUTHERN MEDICAL ASSOCIATES, LLC listed as active for patients and plans?
The listing shows SOUTHERN MEDICAL ASSOCIATES, LLC as active in the NPI system.
What is SOUTHERN MEDICAL ASSOCIATES, LLC's specialty?
The listing groups SOUTHERN MEDICAL ASSOCIATES, LLC with Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What address line appears for SOUTHERN MEDICAL ASSOCIATES, LLC?
SOUTHERN MEDICAL ASSOCIATES, LLC's geographic hint is Glennville, Georgia in our summary view.
What does 'Organization' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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