SOUTH SHORE MEDICAL CENTER – Family Medicine Physician, NPI 1396746483

SOUTH SHORE MEDICAL CENTER is a healthcare provider. based in League city, Texas. specializing in Family Medicine Physician. The NPI Number for SOUTH SHORE MEDICAL CENTER is 1396746483

Main info

Organization
Name
SOUTH SHORE MEDICAL CENTER
NPI
1396746483
Phone
(281) 334-2826
Address
201 ENTERPRISE AVE
Authorized Official
JACK WAYNE JANOE PRESIDENT/OWNER MD
Enumeration Date
10 August 2005
Last Update Date
22 August 2020
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness75
Years active:20State licenses:0Digital endpointsOther names

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Provider Addresses for SOUTH SHORE MEDICAL CENTER

  • 201, Enterprise Avenue, Lakeside, League City, Galveston County, Texas, 77573, United States

    SUITE 900

    LEAGUE CITY, TX 775733082

    Phone: (281) 334-2826

    Fax: (281) 334-1949

    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 77573)

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Reviews

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Frequently asked questions

Does SOUTH SHORE MEDICAL CENTER share an NPI with anyone else?
NPI numbers are unique to each provider or organization — SOUTH SHORE MEDICAL CENTER uses 1396746483.
Does CMS list SOUTH SHORE MEDICAL CENTER as active?
Yes — SOUTH SHORE MEDICAL CENTER is active in the NPI listing used on this page.
What is SOUTH SHORE MEDICAL CENTER best known for clinically?
Directory data describes SOUTH SHORE MEDICAL CENTER with Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What address line appears for SOUTH SHORE MEDICAL CENTER?
SOUTH SHORE MEDICAL CENTER's geographic hint is League City, Texas in our summary view.
Is the information about SOUTH SHORE MEDICAL CENTER up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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